Risk factors for Clostridium difficile-associated diarrhea and the effectiveness of prophylactic probiotic therapy

被引：10

作者：

Mizui, T. ^{[1
]}

Teramachi, H. ^{[2
]}

Tachi, T. ^{[2
]}

Tamura, K. ^{[2
]}

Shiga, H. ^{[2
]}

Komada, N. ^{[2
]}

Umeda, M. ^{[1
]}

Koda, A. ^{[1
]}

Aoyama, S. ^{[1
]}

Goto, C. ^{[1
]}

Tsuchiya, T. ^{[2
]}

机构：

[1] Gifu Municipal Hosp, Dept Pharm, Gifu, Japan

[2] Gifu Pharmaceut Univ, Lab Clin Pharm, Gifu 5011196, Japan

来源：

PHARMAZIE | 2013年 / 68卷 / 08期

关键词：

ANTIBIOTIC-ASSOCIATED DIARRHEA; PREVENTION; COLITIS; DISEASE;

D O I：

10.1691/ph.2013.3552

中图分类号：

R914 [药物化学];

学科分类号：

100701 ;

摘要：

Measures for prevention of Clostridium difficile-associated diarrhea, a common nosocomial infection, in hospital settings are urgently needed. This study was conducted to identify the risk factors contributing to C. difficile-associated diarrhea and to evaluate the clinical benefit of probiotics in its prevention. The study included 2716 patients at least 20 years old who received an injected antibiotic at any time between February 2010 and February 2011; a total of 2687 patients (98.9%) were assigned to the non-C. difficile-associated diarrhea group, and 29 patients (1.1%) were assigned to the C. difficile-associated diarrhea group. Univariate analysis revealed a significant difference between the two groups for the following factors: antibiotic therapy for >= 8 days; enteral nutrition; intravenous hyperalimentation; fasting; proton pump inhibitor use; H-2 blocker use; and serum albumin <= 2.9 g/dL (p <0.05). Multivariate logistic regression analysis revealed a significant difference between the two groups for several factors. Antibiotic therapy for >= 8 days, intravenous hyperalimentation, proton pump inhibitor use, and H-2 blocker use were therefore shown to be risk factors for C. difficile-associated diarrhea. Prophylactic probiotic therapy was not shown to suppress the occurrence of C. difficile-associated diarrhea.

引用

页码：706 / 710

页数：5

共 18 条

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