Antibiotikainduzierte Diarrhö und pseudomembranöse Enterokolitis

作者: C. Greb , T. Kalem , T. Kälble

DOI: 10.1007/S00120-002-0267-2

关键词: GynecologyMedicineUrology

摘要: Das sporenbildende anaerobe Clostridium difficile ist ein problematischer Hospitalismuskeim. Die orale und parenterale Applikation von Antibiotika kann zu einer Storung des "okologischen" Gleichgewichts der Darmflora fuhren mit Uberwucherung praexistenter Mikroorganismen wie difficile. Folge sind Durchfallerkrankungen, die Spektrum asymptomatischen Diarrhoen bis hin schwersten pseudomembranosen Enterokolitiden zeigen. wird fakal-oral oder uber kontaminierte Oberflachen ubertragen.

参考文章(63)
Mitty Rd, Lamont Jt, Clostridium difficile colitis: epidemiology, pathophysiology, and treatment. Mount Sinai Journal of Medicine. ,vol. 61, pp. 329- 335 ,(1994)
Larry Gurian, Thomas T. Ward, Ronald M. Katon, Possible Foodborne Transmission in a Case of Pseudomembranous Colitis Due to Clostridium difficile Gastroenterology. ,vol. 83, pp. 465- 469 ,(1982) , 10.1016/S0016-5085(82)80345-4
Crabtree Td, Pelletier Sj, Gleason Tg, Pruett Tl, Sawyer Rg, Clinical characteristics and antibiotic utilization in surgical patients with Clostridium difficile-associated diarrhea. American Surgeon. ,vol. 65, pp. 507- 512 ,(1999)
Kwan Kew Lai, Transmission of Clostridium difficile. Infection Control and Hospital Epidemiology. ,vol. 13, pp. 693- 694 ,(1992) , 10.1086/648339
Kenneth H. Wilson, The microecology of Clostridium difficile. Clinical Infectious Diseases. ,vol. 16, ,(1993) , 10.1093/CLINIDS/16.SUPPLEMENT_4.S214
Steven E. Brooks, Rebecca O. Veal, Martin Kramer, Laura Dore, Nicole Schupf, Masasumi Adachi, REDUCTION IN THE INCIDENCE OF CLOSTRIDIUM DIFFICILE- ASSOCIATED DIARRHEA IN AN ACUTE CARE HOSPITAL AND A SKILLED NURSING FACILITY FOLLOWING REPLACEMENT OF ELECTRONIC THERMOMETERS WITH SINGLE-USE DISPOSABLES Infection Control and Hospital Epidemiology. ,vol. 13, pp. 98- 103 ,(1992) , 10.1086/646480
Brenda B Toner, Donna Akman, Gender role and irritable bowel syndrome: literature review and hypothesis The American Journal of Gastroenterology. ,vol. 95, pp. 11- 16 ,(2000) , 10.1016/S0002-9270(99)00757-1
Rajiv D. Poduval, Ramdas P. Kamath, Marilou Corpuz, Edward P. Norkus, C.S. Pitchumoni, Clostridium difficile and vancomycin-resistant enterococcus: the new nosocomial alliance The American Journal of Gastroenterology. ,vol. 95, pp. 3513- 3515 ,(2000) , 10.1111/J.1572-0241.2000.03291.X
M POCHAPIN, The effect of probiotics on clostridium difficile diarrhea The American Journal of Gastroenterology. ,vol. 95, pp. S11- S13 ,(2000) , 10.1016/S0002-9270(99)00809-6
Kurt G. Naber, Alfons G. Hofstetter, Peter Brühl, Karl-Horst Bichler, Cordula Lebert, Guidelines for the perioperative prophylaxis in urological interventions of the urinary and male genital tract International Journal of Antimicrobial Agents. ,vol. 17, pp. 321- 326 ,(2001) , 10.1016/S0924-8579(00)00361-7