Clostridioides difficile infection: a changing treatment paradigm

Clostridioides difficile infection (CDI) poses a persistent challenge in healthcare, with substantial morbidity and mortality implications. This comprehensive review explores current CDI management, emphasising guidelines from IDSA, SHEA, and ESCMID. Additionally, this study spotlights recent drug d...

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Main Authors: Yousif Al Naser, Marriam AlGashami, Layth Aljashaami
Format: Article
Language:English
Published: Termedia Publishing House 2024-03-01
Series:Gastroenterology Review
Subjects:
Online Access:https://www.termedia.pl/Clostridioides-difficile-infection-a-changing-treatment-paradigm,41,52631,1,1.html
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author Yousif Al Naser
Marriam AlGashami
Layth Aljashaami
author_facet Yousif Al Naser
Marriam AlGashami
Layth Aljashaami
author_sort Yousif Al Naser
collection DOAJ
description Clostridioides difficile infection (CDI) poses a persistent challenge in healthcare, with substantial morbidity and mortality implications. This comprehensive review explores current CDI management, emphasising guidelines from IDSA, SHEA, and ESCMID. Additionally, this study spotlights recent drug developments that have the potential to reshape CDI treatment paradigms. Within the current treatment landscape, fidaxomicin, vancomycin, bezlotoxumab, and faecal microbiota transplantation offer varied options, each with its unique strengths and limitations. Fidaxomicin, effective yet resource-constrained, presents a dilemma, with vancomycin emerging as a pragmatic alternative. Bezlotoxumab, though augmenting antibiotics, grapples with cost and safety concerns. Meanwhile, faecal microbiota transplantation, highly efficacious, confronts evolving safety considerations. The horizon of CDI treatment also features promising therapies such as SER-109 and Rebyota, epitomising the evolving paradigm. As CDI management advances, the critical role of standardised microbiome restoration therapies becomes evident, ensuring long-term safety and diversifying treatment strategies.
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publishDate 2024-03-01
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record_format Article
series Gastroenterology Review
spelling doaj-art-07eb7dea7aa44aa4a4dd787bb82a54122025-01-10T14:06:16ZengTermedia Publishing HouseGastroenterology Review1895-57701897-43172024-03-011911510.5114/pg.2024.13623752631Clostridioides difficile infection: a changing treatment paradigmYousif Al NaserMarriam AlGashamiLayth AljashaamiClostridioides difficile infection (CDI) poses a persistent challenge in healthcare, with substantial morbidity and mortality implications. This comprehensive review explores current CDI management, emphasising guidelines from IDSA, SHEA, and ESCMID. Additionally, this study spotlights recent drug developments that have the potential to reshape CDI treatment paradigms. Within the current treatment landscape, fidaxomicin, vancomycin, bezlotoxumab, and faecal microbiota transplantation offer varied options, each with its unique strengths and limitations. Fidaxomicin, effective yet resource-constrained, presents a dilemma, with vancomycin emerging as a pragmatic alternative. Bezlotoxumab, though augmenting antibiotics, grapples with cost and safety concerns. Meanwhile, faecal microbiota transplantation, highly efficacious, confronts evolving safety considerations. The horizon of CDI treatment also features promising therapies such as SER-109 and Rebyota, epitomising the evolving paradigm. As CDI management advances, the critical role of standardised microbiome restoration therapies becomes evident, ensuring long-term safety and diversifying treatment strategies.https://www.termedia.pl/Clostridioides-difficile-infection-a-changing-treatment-paradigm,41,52631,1,1.htmlclostridioides difficile infection microbiota faecal transplant drug development.
spellingShingle Yousif Al Naser
Marriam AlGashami
Layth Aljashaami
Clostridioides difficile infection: a changing treatment paradigm
Gastroenterology Review
clostridioides difficile infection
microbiota
faecal transplant
drug development.
title Clostridioides difficile infection: a changing treatment paradigm
title_full Clostridioides difficile infection: a changing treatment paradigm
title_fullStr Clostridioides difficile infection: a changing treatment paradigm
title_full_unstemmed Clostridioides difficile infection: a changing treatment paradigm
title_short Clostridioides difficile infection: a changing treatment paradigm
title_sort clostridioides difficile infection a changing treatment paradigm
topic clostridioides difficile infection
microbiota
faecal transplant
drug development.
url https://www.termedia.pl/Clostridioides-difficile-infection-a-changing-treatment-paradigm,41,52631,1,1.html
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