The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
The Spectrum of Pseudomembranous Enterocolitis and Antibiotic-Associated Diarrhea
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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In the citing paper
“Faecal analysis indicates incidence of C. difficile in AAD to be 20%,22 or less.23”
From Probiotics for the prevention of antibiotic-associated diarrhoea: A systematic review and meta-analysis (2021) · cites this paper as [22]
In the citing paper
“Although C. difficile is the most common infectious organism isolated, in most cases of AAD no causative agent is found.”
From Probiotics for the prevention of antibiotic-associated diarrhoea: A systematic review and meta-analysis (2021) · cites this paper as [22]
Citations
Cites
Kelly, C. P., Pothoulakis, C., & LaMont, J. T. (1994) · New England Journal of Medicine · doi:10.1056/nejm199401273300406 · Cited by 1,320
Asymptomatic Carriage ofClostridium difficileand Serum Levels of IgG Antibody against Toxin A
Kyne, L., Warny, M., Qamar, A., & Kelly, C. P. (2000) · New England Journal of Medicine · doi:10.1056/nejm200002103420604 · Cited by 932
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/ Management
Feldman, M. L., Friedman, L. S., & Brandt, L. J. (1998) · Medical Entomology and Zoology · Cited by 735
Clindamycin-Associated Colitis
Tedesco, F. J., BARTON, R. W., & ALPERS, D. H. (1974) · Annals of Internal Medicine · doi:10.7326/0003-4819-81-4-429 · Cited by 611
Field trial of oral cholera vaccines in Bangladesh: results from three-year follow-up
Clemens, J. D., & CLEMENS, J. (1990) · The Lancet · doi:10.1016/0140-6736(90)90080-o · Cited by 508
Clabots, C., Johnson, S., Olson, M. M., Peterson, L. R., & Gerding, D. N. (1992) · The Journal of Infectious Diseases · doi:10.1093/infdis/166.3.561 · Cited by 472
Clostridium difficile–Associated Diarrhea
Johnson, S., & Gerding, D. N. (1998) · Clinical Infectious Diseases · doi:10.1086/520276 · Cited by 443
Clostridium difficile Infection
Kelly, C. P., & LaMont, J. T. (1998) · Annual Review of Medicine · doi:10.1146/annurev.med.49.1.375 · Cited by 413
Primary symptomless colonisation by Clostridium difficile and decreased risk of subsequent diarrhoea
Shim, J. K., Johnson, S., Samore, M. H., Bliss, D. Z., & Gerding, D. N. (1998) · The Lancet · doi:10.1016/s0140-6736(97)08062-8 · Cited by 388
Nosocomial Clostridium difficile colonisation and disease
Johnson, S., Clabots, C., Linn, F. V., Olson, M. M., Peterson, L. R., Gerding, D. N., Johnson, S., Linn, F. V., Peterson, L. R., & Gerding, D. N. (1990) · The Lancet · doi:10.1016/0140-6736(90)91605-a · Cited by 332
Tacket, C. O., Losonsky, G. A., Link‐Amster, H., Hoang, Y. K., Guesry, P. R., Hilpert, H., & Levine, M. M. (1988) · New England Journal of Medicine · doi:10.1056/nejm198805123181904 · Cited by 292
Gastroenterostomy for cicatrizing ulcer of the pylorus.
FINNEY, J. M. T. (1983) · Medical Entomology and Zoology · Cited by 167
Effects of the two toxins of Clostridium difficile in antibiotic-associated cecitis in hamsters
Libby, J. M., Jortner, B. S., & Wilkins, T. D. (1982) · Infection and Immunity · doi:10.1128/iai.36.2.822-829.1982 · Cited by 153
Kim, P. H., Iaconis, J. P., & Rolfe, R. D. (1987) · Infection and Immunity · doi:10.1128/iai.55.12.2984-2992.1987 · Cited by 136
Lyerly, D. M., Bostwick, E. F., Binion, S. B., & Wilkins, T. D. (1991) · Infection and Immunity · doi:10.1128/iai.59.6.2215-2218.1991 · Cited by 136
Treatment with bovine hyperimmune colostrum of cryptosporidial diarrhea in AIDS patients
Nord, J. A., Ma, P., DiJohn, D., Tzipori, S. R., & Tacket, C. O. (1990) · AIDS · doi:10.1097/00002030-199006000-00015 · Cited by 132
Torres, J. F., Lyerly, D. M., Hill, J., & Monath, T. P. C. (1995) · Infection and Immunity · doi:10.1128/iai.63.12.4619-4627.1995 · Cited by 117
Clostridium Difficile-Associated Diarrhea
Schroeder, M. S. (2012) · SpringerReference · doi:10.1007/springerreference_305381 · Cited by 105
Treatment of Clostridium difficile infection
Wilcox, M. H. (1998) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/41.suppl_3.41 · Cited by 100
Kelly, C. P., Pothoulakis, C., Vavva, F., Castagliuolo, I., Bostwick, E. F., O’Keane, J. C., Keates, S. E., & LaMont, J. T. (1996) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.40.2.373 · Cited by 97
Immune response to Clostridium difficile infection
Kelly, C. N. P. (1996) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-199611000-00004 · Cited by 81
Community-Acquired Clostridium difficile-Associated Diarrhea
Riley, T. V., Cooper, M., Bell, B., & Golledge, C. L. (1995) · Clinical Infectious Diseases · doi:10.1093/clinids/20.supplement_2.s263 · Cited by 79
Active and passive immunization to protect against antibiotic associated caecitis in hamsters.
Fernie, D. S., Thomson, R. O., Batty, I., & Pd, W. (1983) · PubMed · Cited by 44
Alonso, R., Muñoz, C., Gros, S. P., de Viedma, D. G., Peláez, T., & Bouza, E. (1999) · Journal of Hospital Infection · doi:10.1016/s0195-6701(99)90052-x · Cited by 39
Clostridium difficile Infection
Bartlett, J. G. (2017) · Infectious Disease Clinics of North America · doi:10.1016/j.idc.2017.05.012 · Cited by 33
Pseudomembranous Colitis: An Update
Brar, H. S., & Surawicz, C. M. (2000) · Canadian Journal of Gastroenterology · doi:10.1155/2000/324025 · Cited by 24
[Acute postoperative enterocolitis].
SANCTIS, A. D., Fregola, E., & PAVONE, M. (1962) · PubMed · Cited by 21
Bacterial infections of the colon
Hasan, M. S., & Smith, J. W. (2000) · Current Treatment Options in Gastroenterology · doi:10.1007/s11938-000-0028-5 · Cited by 14
Treatment of Clostridium difficile diarrhea and colitis
Kelly, C. P. (2006) · Elsevier eBooks · doi:10.1016/b978-1-4160-0317-5.50057-1 · Cited by 13
Clostridium difficile and its toxins
FUMAROLA, D., & Miragliotta, G. (1984) · Infection · doi:10.1007/bf01641027 · Cited by 7
Manabe, Y. C., Vinetz, J. M., Moore, R. D., Merz, C., Charache, P., & Bartlett, J. G. (1996) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-199602000-00021 · Cited by 5
Cited by
Sorted by citations
Clostridium difficile Toxins: Mechanism of Action and Role in Disease
Voth, D. E., & Ballard, J. D. (2005) · Clinical Microbiology Reviews · doi:10.1128/cmr.18.2.247-263.2005 · Cited by 1,103
Bile Salts and Glycine as Cogerminants for Clostridium difficile Spores
Sorg, J. A., & Sonenshein, A. L. (2008) · Journal of Bacteriology · doi:10.1128/jb.01765-07 · Cited by 711
Impact of Clostridium difficile on Inflammatory Bowel Disease
Issa, M., Vijayapal, A., Graham, M. B., Beaulieu, D. B., Otterson, M. F., Lundeen, S. J., Skaros, S., Weber, L. R., KOMOROWSKI, R. A., Knox, J. F., et al. (2007) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2006.12.028 · Cited by 570
Incidence of Clostridium difficile Infection in Inflammatory Bowel Disease
Rodemann, J. F., Dubberke, E. R., Reske, K. A., Seo, D. H., & Stone, C. D. (2007) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2006.12.027 · Cited by 520
The causes of intestinal dysbiosis: a review.
Hawrelak, J. A., & Myers, S. P. (2004) · PubMed · Cited by 366
Metadata
- Authors
- Hurley, B. W., & Nguyen, C. C.
- Affiliations
- Mayo Clinic in Arizona (US)
- ORCID
- Nguyen, Cuong C.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- 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 › Gastroenterology › 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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