Relapse Versus Reinfection: Surveillance of Clostridium difficile Infection

被引:67
|
作者
Kamboj, Mini [1 ,2 ]
Khosa, Perminder [2 ]
Kaltsas, Anna [1 ]
Babady, N. Esther [3 ]
Son, Crystal [2 ]
Sepkowitz, Kent A. [1 ,2 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Infect Dis Serv, New York, NY 10065 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Med, New York, NY 10065 USA
[3] Mem Sloan Kettering Canc Ctr, Microbiol Serv, Dept Clin Labs, New York, NY 10065 USA
关键词
MOLECULAR ANALYSIS; DIARRHEA; RECURRENCES; EPIDEMIC; DISEASE; STRAIN;
D O I
10.1093/cid/cir643
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Molecular typing was used to examine surveillance definitions for recurrent Clostridium difficile-associated diarrhea. Among 102 patients, 85 had a second episode within 8 weeks, 88% of which were relapses. Of 49 second episodes occurring after > 8 weeks, 65% were relapses. Categorization of a recurrent episode occurring after >8 weeks as a new infection may misrepresent the majority of episodes for surveillance.
引用
收藏
页码:1003 / 1006
页数:4
相关论文
共 50 条
  • [41] Clostridium difficile Infection
    Sharma, Sam K.
    Nakajima, Kentaro
    Shukla, Parul J.
    NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (03): : 287 - 287
  • [42] Clostridium difficile Infection
    Bartlett, John G.
    INFECTIOUS DISEASE CLINICS OF NORTH AMERICA, 2017, 31 (03) : 489 - +
  • [43] Mandatory surveillance of severe cases of Clostridium difficile infection (CDI) in Germany
    Kleinkauf, N.
    Weiss, B.
    Jansen, A.
    Eckmanns, T.
    INTERNATIONAL JOURNAL OF MEDICAL MICROBIOLOGY, 2008, 298 : 95 - 95
  • [44] Clostridium difficile infection
    Gruenewald, T.
    Kist, M.
    Mutters, R.
    Ruf, B. R.
    Kern, W. V.
    DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2010, 135 (14) : 699 - 703
  • [45] Clostridium difficile infection
    Clark, Tristan
    Wiselka, Martin
    CLINICAL MEDICINE, 2008, 8 (05) : 544 - 547
  • [46] Clostridium difficile Infection
    Knight, Christopher L.
    Surawicz, Christina M.
    MEDICAL CLINICS OF NORTH AMERICA, 2013, 97 (04) : 523 - +
  • [47] Clostridium difficile infection
    Kuipers, Ernst J.
    Surawicz, Christina M.
    LANCET, 2008, 371 (9623): : 1486 - 1488
  • [49] National variability in surveillance, testing, and infection prevention for Clostridium difficile infection in pediatric populations
    Kociolek, Larry K.
    Sandora, Thomas J.
    AMERICAN JOURNAL OF INFECTION CONTROL, 2013, 41 (10) : 933 - 935
  • [50] Efficacy of rifaximin versus metronidazole for treatment of Clostridium difficile infection
    Berman, Arthur
    Hallgren, S.
    Schulman, M.
    Beljic, S.
    Kudelko, M.
    Torrey, T.
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2008, 103 : S470 - S470