Non-antibiotic therapy for Clostridioides difficile infection: A review

被引：20
作者：
Yang, Jingpeng [1 ,2 ]
Yang, Hong [1 ,2 ]
机构：
[1] Shanghai Jiao Tong Univ, State Key Lab Microbial Metab, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Sch Life Sci & Biotechnol, Shanghai, Peoples R China
来源：
CRITICAL REVIEWS IN CLINICAL LABORATORY SCIENCES | 2019年 / 56卷 / 07期
关键词：
Clostridioides difficile infection; antibiotics; probiotics; fecal microbiota transplantation; FECAL MICROBIOTA TRANSPLANTATION; LACTIC-ACID BACTERIA; DOUBLE-BLIND; TOXIN PRODUCTION; GUT MICROBIOTA; PHAGE THERAPY; RIBOTYPE; 027; PROBIOTICS; PREVENTION; DIARRHEA;
D O I：
10.1080/10408363.2019.1648377
中图分类号：
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号：
1001 ;
摘要：
Clostridioides difficile infection (CDI) is a common infectious disease that is mainly caused by antibiotics. Antibiotic therapy is still the dominant treatment for CDI, although it is accompanied by side effects. Probiotics, fecal microbiota transplantation (FMT), engineered microorganisms, bacteriophages, diet, natural active substances, nanoparticles and compounds are examples of emerging non-antibiotic therapies that have received a great amount of attention. In this review, we collected data about different non-antibiotic therapies for CDI and provided a comprehensive analysis and detailed comparison of these therapies. The mechanism of action, therapeutic efficacy, and the strengths and weaknesses of these non-antibiotic therapies have been investigated to provide a basis for the reasonable alternative of non-antibiotic therapies for CDI. In summary, probiotics and FMT are currently the best choice for non-antibiotic therapy for CDI.
引用
收藏
页码：493 / 509
页数：17
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