Clostridium difficile infection An overview of the disease and its pathogenesis, epidemiology and interventions

被引:89
作者
Viswanathan, V. K. [1 ]
Mallozzi, M. J. [1 ]
Vedantam, Gayatri [1 ,2 ]
机构
[1] Univ Arizona, Dept Vet Sci & Microbiol, Tucson, AZ 85721 USA
[2] Southern Arizona VA Healthcare Syst, Res Serv, Tucson, AZ 85723 USA
关键词
Clostridium difficile; infection; CDI; CDAD; hypervirulent; spore; infection control; pathogenesis;
D O I
10.4161/gmic.1.4.12706
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Clostridium difficile infection (CDI) is the primary cause of antibiotic-associated diarrhea and is a significant nosocomial disease. In the past ten years, variant toxin-producing strains of C. difficile have emerged, that have been associated with severe disease as well as outbreaks worldwide. This review summarizes current information on C. difficile pathogenesis and disease, and highlights interventions used to combat single and recurrent episodes of CDI.
引用
收藏
页码:234 / 242
页数:9
相关论文
共 146 条
[31]   Regulated transcription of Clostridium difficile toxin genes [J].
Dupuy, B ;
Sonenshein, AL .
MOLECULAR MICROBIOLOGY, 1998, 27 (01) :107-120
[32]  
DWORCZYNSKI A, 1991, CYTOBIOS, V65, P149
[33]   C-difficile may have killed 2000 in Quebec:: study [J].
Eggertson, L .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2005, 173 (09) :1020-1021
[34]  
EMERUWA AC, 1990, MICROBIOLOGICA, V13, P323
[35]   Effect of metronidazole on growth and toxin production by epidemic Clostridium difficile PCR ribotypes 001 and 027 in a human gut model [J].
Freeman, Jane ;
Baines, Simon D. ;
Saxton, Katie ;
Wilcox, Mark H. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2007, 60 (01) :83-91
[36]   Peripartum Clostridium difficile infection:: case series and review of the literature [J].
Garey, Kevin W. ;
Jiang, Zhi-Dong ;
Yadav, Yashoo ;
Mullins, Bridget ;
Wong, Keith ;
Dupont, Herbert L. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2008, 199 (04) :332-337
[37]   Treatment of Clostridium difficile infection [J].
Gerding, Dale N. ;
Muto, Carlene A. ;
Owens, Robert C., Jr. .
CLINICAL INFECTIOUS DISEASES, 2008, 46 :S32-S42
[38]   Measures to control and prevent Clostridium difficile infection [J].
Gerding, Dale N. ;
Muto, Carlene A. ;
Owens, Robert C., Jr. .
CLINICAL INFECTIOUS DISEASES, 2008, 46 :S43-S49
[39]   Clindamycin, cephalosporins, fluoroquinolones, and Clostridium difficile-associated diarrhea:: This is an antimicrobial resistance problem [J].
Gerding, DN .
CLINICAL INFECTIOUS DISEASES, 2004, 38 (05) :646-648
[40]   Glucosylation of Rho GTPases by Clostridium difficile toxin A triggers apoptosis in intestinal epithelial cells [J].
Gerhard, Ralf ;
Nottrott, Stefanie ;
Schoentaube, Janett ;
Tatge, Helma ;
Olling, Alexandra ;
Just, Ingo .
JOURNAL OF MEDICAL MICROBIOLOGY, 2008, 57 (06) :765-770