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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Hung, Yuan-Pin Lee, Jen-Chieh Lin, Hsiao-Ju Liu, Hsiao-Chieh Wu, Yi-Hui Tsai, Pei-Jane Ko, Wen-Chien |
| Description | Country affiliation: Taiwan Author Affiliation: Hung YP ( Department of Internal Medicine, Ministry of Health & Welfare, Tainan, Taiwan); Lee JC ( Department of Internal Medicine, National Cheng Kung University, Medical College and Hospital, Tainan, Taiwan.); Lin HJ ( Department of Internal Medicine, Ministry of Health & Welfare, Tainan, Taiwan); Liu HC ( Department of Internal Medicine, Ministry of Health & Welfare, Tainan, Taiwan.); Wu YH ( Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan.); Tsai PJ ( Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University, Medical College, Tainan, Taiwan); Ko WC ( Department of Internal Medicine, National Cheng Kung University, Medical College and Hospital, Tainan, Taiwan. Electronic address: winston3415@gmail.com.) |
| Abstract | Clostridium difï¬ cile can cause antibiotic-associated diarrhea in hospitalized patients. Asymptomatic colonization by C. difficile is common during the neonatal period and early infancy, ranging from 21% to 48%, and in childhood. The colonization rate of C. difficile in adult hospitalized patients shows geographic variation, ranging from 4.4% to 23.2%. Asymptomatic carriage in neonates caused no further disease in many studies, whereas adult patients colonized with toxigenic C. difficile were prone to the subsequent development of C. difficile-associated diarrhea (CDAD). However, the carriage of nontoxigenic C. difficile strains appears to prevent CDAD in hamsters and humans. Risk factors for C. difficile colonization include recent hospitalization, exposure to antimicrobial agents or gastric acid-suppressing drugs (such as proton-pump inhibitors and H2 blockers), a history of CDAD or cytomegalovirus infection, the presence of an underlying illness, receipt of immunosuppressants, the presence of antibodies against toxin B, and Toll-like receptor 4 polymorphisms. Asymptomatic C. difficile carriers are associated with significant skin and environmental contamination, similar to those with CDAD, and contact isolation and hand-washing practices should therefore be employed as infection control policies for the prevention of C. difficile spread. Treating patients with asymptomatic C. difficile colonization with metronidazole or vancomycin is not suggested by the currently available evidence. In conclusion, asymptomatic C. difficile colonization may lead to skin and environmental contamination by C. difficile, but more attention should be paid to the clinical impact of those with C. difficile colonization. |
| File Format | HTM / HTML |
| ISSN | 16841182 |
| e-ISSN | 19959133 |
| Journal | Journal of Microbiology, Immunology and Infection |
| Issue Number | 3 |
| Volume Number | 48 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-06-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline Microbiology Discipline Immunology Carrier State Epidemiology Clostridium Infections Clostridium Difficile Isolation & Purification Cross Infection Diarrhea Animals Bacterial Toxins Metabolism Microbiology Cricetinae Disease Models, Animal Risk Factors Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Infectious Diseases Immunology and Microbiology Immunology and Allergy Microbiology (medical) |
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