Cited by 288Clostridium difficile and Clostridium perfringens researchMicroscopic ColitisInfection Control in Healthcare

The spectrum of pseudomembranous enterocolitis and antibiotic-associated diarrhea

Hurley, Brian W., Nguyen, Cuong C.·2002·Archives of Internal Medicine

Abstract

Pseudomembranous (entero)colitis is primarily caused by Clostridium difficile infection. The most common predisposing factor is prior use of antibiotics, including vancomycin and metronidazole, which themselves are therapy for C difficile colitis. Other risk factors have also been described. The presence of C difficile in the gastrointestinal tract leads to a spectrum of manifestations from the asymptomatic carrier state to fulminant colitis. Successful treatment of C difficile colitis requires prompt treatment with appropriate antibiotics, withdrawal of the suspected predisposing antibiotics, and, in rare cases, total colectomy. Preventive measures of adequate infection control and judicious use of antibiotics are necessary means in attempting to control the spread of C difficile infection. Attempts at making an effective human vaccine are currently under way.

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Crossref · 10.1001/archinte.162.19.2177

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Authors
Hurley, B. W., & Nguyen, C. C.
Affiliations
Mayo Clinic in Arizona (US)
Venue
Archives of Internal Medicine
Published
2002-10-28
Volume
162
Issue
19
Pages
2177
ISSN
0003-9926 (ISSN-L)
OpenAlex
W2120700667
Cited by
288
References
32
Citations by year
2026: 4 · 2025: 5 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 10 · 2020: 64 · 2019: 8 · 2018: 5 · 2017: 12 · 2016: 4 · 2015: 12 · 2014: 10 · 2013: 9 · 2012: 12
FWCI
5.08
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
  • Health Sciences › Medicine › Epidemiology › Microscopic Colitis
  • Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Keywords
pseudomembranous colitis, Clostridium difficile infection, antibiotic-associated diarrhea, vancomycin, metronidazole, asymptomatic carriage, fulminant colitis, colectomy, infection control, antibiotic stewardship
MeSH terms
Anti-Bacterial Agents, Clostridium Infections, Diarrhea, Enterocolitis, Pseudomembranous, Humans, Recurrence, Clostridioides difficile

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