Revision colitis pseudomembranosa
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The document discusses Clostridium difficile infection (CDI), providing recommendations from the American College of Gastroenterology. It notes that C. difficile usually spreads via the fecal-oral route and can cause disease ranging from asymptomatic carriage to colitis. The two main risk factors for CDI are antibiotic exposure and exposure to C. difficile. Rates of CDI have been increasing since 2000, especially in elderly patients who have been hospitalized or reside in long-term care facilities.
Revision colitis pseudomembranosa
- 1. DIARREA ASOCIADA A C. DIFFICILE: RECOMENDACIONES ACG MONTERREY, NL. A 7 DE JULIO DE 2017 HR ISSSTE MONTERREY DPTO. MEDICINA INTERNA DR. JAIME RENTERIA ORDOEZ RESIDENTE DE TERCER AO
- 2. INTRODUCCION Clostridium difficile is a Gram-positive, sporeforming bacterium usually spread by the fecal-oral route Produces toxins A and B that cause disease, ranging from asymptomatic carriage, to mild diarrhea, to colitis, or pseudomembranous colitis CDI is defined as the acute onset of diarrhea with documented toxigenic C. difficile or its toxin and no other documented cause for diarrhea Am J Gastroenterol 2013; 108:478498
- 3. Rates of CDI have been increasing since 2000, especially in the elderly with a recent hospitalization or residing in long-term care facility Carriage of C. difficile occurs in 5 15 % of healthy adults, but may be as high as 84.4 % in newborns and healthy infants, and up to 57 % in residents in LTCF The two biggest risk factors are exposure to antibiotics and exposure to the organism. 15-25% antibiotic-associated diarrhea. Others risk factors: gastrointestinal tract surgery, and medications that reduce gastric acid, including proton-pump inhibitors Am J Gastroenterol 2013; 108:478498
- 7. RECOMENDACIONES Am J Gastroenterol 2013; 108:478498
- 8. Am J Gastroenterol 2013; 108:478498
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- 19. Am J Gastroenterol 2013; 108:478498
- 21. Am J Gastroenterol 2013; 108:478498
- 25. Am J Gastroenterol 2013; 108:478498
- 26. Am J Gastroenterol 2013; 108:478498
- 27. Cochrane Database of Systematic Reviews 2017, Issue 5. Art