Actualités sur la prise en charge des infections à Clostridioides difficile (notice n° 666389)

détails MARC
000 -LEADER
fixed length control field 02917cam a2200373 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250121194218.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Dinh, Aurélien
Relator term author
245 00 - TITLE STATEMENT
Title Actualités sur la prise en charge des infections à Clostridioides difficile
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2023.<br/>
500 ## - GENERAL NOTE
General note 56
520 ## - SUMMARY, ETC.
Summary, etc. Clostridioides difficile infections (CDI) are a heterogeneous entity with ­multiple clinical presentations. The incidence of CDI has significantly increased over the last 30 years with the emergence and dissemination of hypervirulent and ­hyperepidemic clones which extend to the community environment. Prevention is based on reducing inappropriate antibiotic consumption, early identification of patients at risk of CDI and those who may progress to severe and/or recurrent forms. Fidaxomicin was an important therapeutic innovation and is now used as first line therapy. Oral metronidazole has no place in current therapeutic algorithms. Finally, fecal microbiota transplantation is today the treatment of choice of the 2nd recurrence. Beztoloxumab can be used in cases of ICD with a high risk of recurrence or first recurrence.
520 ## - SUMMARY, ETC.
Summary, etc. Les infections à Clostridioides difficile (ICD) sont une entité hétérogène avec de multiples présentations cliniques. L’incidence des ICD a significativement ­augmenté au cours des 30 dernières années avec l’émergence et la dissémination de clones hypervirulents et hyperépidémiques qui s’étendent vers le ­milieu ­communautaire. La prévention repose sur la réduction de la consommation d’antibiotique et sur l’identification précoce des patients à risque d’ICD et de ceux pouvant évoluer vers des formes sévères et/ou récidivantes.La fidaxomicine a été une importante innovation thérapeutique et est ­dorénavant utilisée en première ligne. Le métronidazole n’a plus sa place dans les algorithmes thérapeutiques actuels. Enfin la transplantation de microbiote fécale est aujourd’hui le traitement de choix dès la deuxième récidive. Le bezlotoxumab a une indication en cas de forme à haut risque de récidive ou de ­première récidive.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element colite
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element infections à
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Clostridioides difficile
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element traitement
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element infections à
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element colite
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Clostridioides difficile
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element traitement
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element infections
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element treatment
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element colitis
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Clostridioides difficile
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element treatment
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element infections
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element colitis
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Clostridioides difficile
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Fumery, Mathurin
Relator term author
786 0# - DATA SOURCE ENTRY
Note Hépato-Gastro & Oncologie Digestive | 30 | 10 | 2023-12-05 | p. 1075-1084 | 2115-3310
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2023-10-page-1075?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2023-10-page-1075?lang=fr&redirect-ssocas=7080</a>

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