Clostridium difficile infection in the intensive care unit

Infect Dis Clin North Am. 2009 Sep;23(3):727-43. doi: 10.1016/j.idc.2009.04.011.

Abstract

Clostridium difficile infection (CDI) is becoming more common worldwide. The morbidity and mortality associated with C difficile is also increasing at an alarming rate. Critically ill patients are at particularly high risk for CDI because of the prevalence of multiple risk factors in this patient population. Treatment of C difficile continues to be a difficult problem in patients with severe or recurrent disease. This article seeks to provide a broad understanding of CDI in the intensive care unit, with special emphasis on risk factor identification, treatment options, and disease prevention.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Clostridioides difficile / isolation & purification*
  • Cross Infection / drug therapy
  • Cross Infection / epidemiology*
  • Cross Infection / prevention & control*
  • Diarrhea / drug therapy
  • Diarrhea / epidemiology*
  • Diarrhea / prevention & control*
  • Enterocolitis, Pseudomembranous / drug therapy
  • Enterocolitis, Pseudomembranous / epidemiology*
  • Enterocolitis, Pseudomembranous / prevention & control*
  • Humans
  • Incidence
  • Intensive Care Units
  • Metronidazole / therapeutic use
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Metronidazole
  • Vancomycin