Document Detail


Antibiotic-associated diarrhoea.
MedLine Citation:
PMID:  16610966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diarrhoea is a common complication of antimicrobial therapy. The term antibiotic-associated diarrhoea (AAD) is often considered synonymous with Clostridium difficile. In fact, AAD can develop through a variety of mechanisms and manifest through a broad range of clinical signs and symptoms. For improved prevention and recognition of AAD, it is important to understand the pathophysiology and risk factors for AAD. Although Clostridium difficile continues to be the most common identifiable pathogen of AAD, many patients with AAD can be managed through a variety of conservative measures. This review focuses on some of the important distinctions between nonspecific AAD and antibiotic-associated colitis. In addition, the most recent data on important risk factors for the development of AAD are summarised. Given its pathogenicity, there will be an emphasis on the early diagnosis, treatment and prevention of Clostridium difficile-associated diarrhoea. AAD is a common clinical problem that can progress to severe, life-threatening disease if not recognised quickly. Better awareness of risk factors can lead to the most efficacious treatment of this disorder: primary prevention.
Authors:
Gregory A Coté; Alan L Buchman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert opinion on drug safety     Volume:  5     ISSN:  1744-764X     ISO Abbreviation:  Expert Opin Drug Saf     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-13     Completed Date:  2007-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101163027     Medline TA:  Expert Opin Drug Saf     Country:  England    
Other Details:
Languages:  eng     Pagination:  361-72     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / adverse effects*,  therapeutic use
Anti-Infective Agents / therapeutic use
Clostridium difficile / drug effects,  isolation & purification
Colitis / etiology
Diarrhea / drug therapy,  etiology*,  microbiology
Enterocolitis, Pseudomembranous / diagnosis,  drug therapy,  etiology*,  prevention & control
Humans
Penicillins / adverse effects
Probiotics / therapeutic use
Recurrence / prevention & control
Risk Factors
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Infective Agents; 0/Penicillins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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