Infección por Clostridioides difficile en el adulto

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 Epub Date: 2024-09-05 DOI:10.1016/j.acci.2024.08.008
Fabián Muñoz Ramírez , Santiago Morón-Serrano
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Abstract

Purpose

This review aims to provide clear and precise information about Clostridioides difficile infection (CDI), with the goal of enabling physicians to understand it and proceed with timely diagnosis and treatment.

Data Sources and Study Selection

Databases such as PubMed, Ovid, SciELO, Embase, and MEDLINE were consulted, along with general web searches and references previously known to the authors. Studies, guidelines, and reviews addressing the epidemiology, diagnosis, treatment, and prevention of CDI were included.

Data Extraction and Synthesis

Data were extracted from studies analyzing clinical presentation, diagnostic methods, and therapeutic options. The data synthesis aimed to provide a comprehensive view of best practices based on current evidence.

Conclusions

CDI is a significant cause of gastrointestinal disease in healthcare settings, particularly following antibiotic use. Its incidence is increasing, even in young people without risk factors. Diagnosis is based on clinical suspicion and the detection of C. difficile toxins or toxigenic genes using molecular biology techniques or enzyme immunoassays. This review emphasizes the importance of rapid detection and the implementation of effective therapies to reduce associated morbidity.
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成人艰难梭菌感染
目的通过对艰难梭菌感染(clostridiides difficile, CDI)的研究,为临床医师提供准确、清晰的信息,以便及时诊断和治疗。数据来源和研究选择参考了PubMed、Ovid、SciELO、Embase和MEDLINE等数据库,以及作者已知的一般网络搜索和参考文献。包括研究、指南和综述,涉及CDI的流行病学、诊断、治疗和预防。数据提取和综合数据提取自分析临床表现、诊断方法和治疗方案的研究。数据综合旨在根据现有证据提供最佳做法的全面看法。结论scdi是医疗机构中胃肠道疾病的重要原因,特别是在抗生素使用后。即使在没有危险因素的年轻人中,其发病率也在增加。诊断是基于临床怀疑和使用分子生物学技术或酶免疫分析检测艰难梭菌毒素或产毒基因。这篇综述强调了快速检测和实施有效治疗以减少相关发病率的重要性。
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