Clostridium difficile disease in solid organ transplant recipients: a recommended treatment paradigm

Curr Opin Organ Transplant. 2020 Aug;25(4):357-363. doi: 10.1097/MOT.0000000000000778.

Abstract

Purpose of review: Organ transplant recipients have an increased incidence of Clostridium difficile disease and lower clinical response rates compared with the general population. Transplant specific treatment approaches are not defined. Therefore, a review of therapeutics in the transplant population is needed.

Recent findings: A literature review on the current therapies for C. difficile was performed focusing on the evidence in transplant recipients and immunosuppressed populations.

Summary: Transplant patients warrant an aggressive approach to treatment. The authors propose a suggested treatment paradigm for therapy.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Antibodies, Monoclonal / therapeutic use
  • Broadly Neutralizing Antibodies / therapeutic use
  • Clostridioides difficile / isolation & purification
  • Clostridium Infections / drug therapy
  • Clostridium Infections / epidemiology*
  • Clostridium Infections / therapy*
  • Fecal Microbiota Transplantation
  • Humans
  • Incidence
  • Organ Transplantation / methods*
  • Organ Transplantation / statistics & numerical data*
  • Randomized Controlled Trials as Topic
  • Transplant Recipients / statistics & numerical data

Substances

  • Anti-Bacterial Agents
  • Antibodies, Monoclonal
  • Broadly Neutralizing Antibodies
  • bezlotoxumab