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E-book
Author Sommermeyer, Henning

Title Clostridioides Difficile : infections, risk factors, prevention and treatment / Henning Sommermeyer, Jacek Piątek
Published Cham : Springer, 2021

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Description 1 online resource (96 pages)
Contents Intro -- Foreword -- Preface -- Acknowledgments -- Contents -- About the Authors -- Abbreviations -- List of Figures -- List of Tables -- 1: Introduction -- 2: Microbiology -- 2.1 Taxonomy -- 2.2 Genome -- 2.3 Epigenome -- 2.4 Life Cycle of C. difficile During Infection -- 2.4.1 Spore -- 2.4.1.1 Spore Core -- 2.4.1.2 Inner Membrane -- 2.4.1.3 Germ Cell Wall -- 2.4.1.4 Cortex -- 2.4.1.5 Outer Membrane -- 2.4.1.6 Coat and Exosporium -- 2.4.2 Germination -- 2.4.2.1 Germinosome Model -- 2.4.2.2 Lock-and-Key Model -- 2.4.3 Sporulation -- References
3: Pathophysiology of C. difficile -- 3.1 Toxins TcdA and TcdB -- 3.2 Genetics of TcdA and TcdB -- 3.3 Pathogenicity Locus -- 3.4 Toxinotypes of C. difficile Isolates -- 3.5 Environmental Signals Regulating Toxin Expression -- 3.6 Mechanism of Action and Functional Domains of TcdA and TcdB -- 3.7 Cell Surface Receptors for TcdA and TcdB -- 3.8 Receptor-Mediated Endocytosis and Membrane Translocation -- 3.9 Modification of Small GTPase Proteins as Host Cell Targets of TcdA and TcdB -- 3.10 Influence of TcdA and TcdB on Cell Physiology -- 3.11 Impact on Cell Morphology
3.12 Impact on Small GTPase Signaling Pathways -- 3.13 Role of TcdA and TcdB in Disease -- 3.14 Other Toxins Produced by C. difficile -- 3.15 Toxin Profiles of Clinical Isolates -- References -- 4: Epidemiology -- 4.1 Historical Perspective -- 4.2 Hospital- and Community-Acquired CDI -- 4.3 Hypervirulent C. difficile Strain Ribotype 027 (NAP1/BI) -- 4.4 Other Strains of C. difficile -- 4.5 Dual Strain Infections -- 4.6 CDI in Children -- 4.7 Recurrent CDI -- References -- 5: Risk Factors for CDI -- 5.1 Exposure to Healthcare Institutions -- 5.2 Antibiotics
5.3 Proton Pump Inhibitors -- 5.4 Advanced Age as Risk Factor for CDI -- 5.5 Cancer Therapy as Risk Factor for CDI -- 5.6 Other Risk Factors for CDI -- 5.7 Risk Factors for Community-Acquired CDI -- 5.8 Risk Factors for Recurrent CDI -- 5.9 CDI Risk Factors in Children -- References -- 6: Diagnosis of CDI -- References -- 7: Clinical Picture of CDI -- 7.1 From Asymptomatic Carriers to Life-Threatening Presentations -- 7.2 Pseudomembranous Colitis -- References -- 8: Treatment of CDI -- 8.1 Antibiotics-Based Therapy -- 8.1.1 Antibiotics Used for Treatment of CDI
8.1.2 AB-Treatment of an Initial, Non-severe CDI Episode in Adults -- 8.1.3 AB-Treatment of a Fulminant Episode of CDI in Adults -- 8.1.4 AB-Treatment of a First or Multiple Recurrence of CDI in Adults -- 8.1.5 AB-Treatment of Non-severe Initial or First Recurrent CDI in Children -- 8.1.6 AB-Treatment of an Initial Episode of Severe CDI in Children -- 8.1.7 AB-Treatment of Second or Greater Episode of Recurrent CDI in Children -- 8.2 Fecal Microbiota Transplantation as Treatment for CDI -- 8.3 Probiotics and Synbiotics as Treatment for CDI -- 8.4 Surgical Treatment of Complicated CDI
Summary The book provides a comprehensive overview of the current knowledge about Clostridioides (C.) difficile (formerly known as Clostridium difficile) and Clostridioides difficile infections (CDI). The diseases caused by C. difficile range from mild diarrhea to fulminant and in some cases fatal colitis. Historically, CDI was considered mainly as a hospital-acquired problem. Today, a significant portion of CDI is community acquired. Triggered by the introduction of new antibiotics, hypervirulent and multi-drug resistant strains of C. difficile (e.g., C. difficile ribotype R027) have emerged and spread across the globe. The volume covers the microbiology, pathophysiology, epidemiology, risk factors for CDI, diagnosis, clinical pictures, treatment and prophylaxis. It includes an extensive reference list that allows an easy navigation through the original research publications. Clostridioides difficile helps the reader gain a better understanding of C. difficile, the challenges that may arise and the available treatment options. Given its broad coverage and features, it will appeal to a wide readership, from gastroenterologists through general physicians, nurses, and other healthcare providers, to students
Bibliography Includes bibliographical references
Notes Online resource; title from PDF title page (SpringerLink, viewed October 14, 2021)
Subject Clostridium difficile.
Clostridioides difficile
Clostridium difficile
Clostridi.
Genre/Form Llibres electrònics.
Form Electronic book
Author Piątek, Jacek
ISBN 9783030811006
303081100X