Infect Chemother.  2010 Dec;42(6):362-368. 10.3947/ic.2010.42.6.362.

Current epidemiology and treatment of Clostridium difficile infection

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. paihj@hanyang.ac.kr

Abstract

With the emergence of B1/NAP1 strain of Clostridium difficile, epidemic feature of C. difficile infection (CDI) has been changing in North America. Clinical manifestation of CDI caused by B1/NAP1 strain is more severe resulting in high mortality and complications, and relapse rate is higher. In Korea, the epidemic feature of CDI is not clearly demonstrated yet. Infection by B1/NAP1 strain was reported recently, but the prevalence of the infections by those strains seems to be not high yet. For the management of CDI, conventional treatment of vancomycin or metronidazole is still the choice of treatment, however, several clinical trials of CDI treatment are progressing; fidaxomicin, monoclonal antibody, toxoid vaccine, and luminal non-toxigenic C. difficile infusion. Thus, it is expected to have more effective treatment or prevention modality of CDI in near future.

Keyword

Clostridium difficile; Epidemiology; Clinical characteristics; Diagnosis; Treatment

MeSH Terms

Aminoglycosides
Clostridium
Clostridium difficile
Korea
Metronidazole
North America
Phenobarbital
Prevalence
Recurrence
Sprains and Strains
Vancomycin
Aminoglycosides
Metronidazole
Phenobarbital
Vancomycin

Figure

  • Figure 1 Meta analyses of association between prior antibiotics use and Clostridium difficile infection [5].

  • Figure 2 National estimates of US short-stay hospital discharges with Clostridium difficile infections as first-listed or any diagnosis (1996-2003) [6].


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