Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis

The aim of review. To discuss the factors promoting development of refractory and relapsing forms of colitis, associated to Clostridium difficile infection, to present the state-of-the-art in management of patients with these variants of the course of disease.Original positions. Relapsing forms of t...

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Main Author: A. A. Sheptulin
Format: Article
Language:Russian
Published: Gastro LLC 2011-03-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1391
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author A. A. Sheptulin
author_facet A. A. Sheptulin
author_sort A. A. Sheptulin
collection DOAJ
description The aim of review. To discuss the factors promoting development of refractory and relapsing forms of colitis, associated to Clostridium difficile infection, to present the state-of-the-art in management of patients with these variants of the course of disease.Original positions. Relapsing forms of the Clostridium difficile-associated colitis, are seen in 15– 30% of patients. Their development is promoted by elderly age of patients, significant duration of diarrhea at the first relapse, intake of proton pump inhibitors. In treatment of such patients courses of vancomycine and metronidazole, supplemented by probiotics (Sacharomyces boulardi), adsorbents (Colestyraminum, smecta) and rifaximin are applied.Conclusion. The problem of refractory and relapsing forms of Clostridium difficile-associated colitis, requires the further studying to increase treatment efficacy.
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institution Kabale University
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publishDate 2011-03-01
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record_format Article
series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-6cc42632e3e547b5ab4bba1726c412112025-02-10T16:14:31ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-03-012125053944Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitisA. A. SheptulinThe aim of review. To discuss the factors promoting development of refractory and relapsing forms of colitis, associated to Clostridium difficile infection, to present the state-of-the-art in management of patients with these variants of the course of disease.Original positions. Relapsing forms of the Clostridium difficile-associated colitis, are seen in 15– 30% of patients. Their development is promoted by elderly age of patients, significant duration of diarrhea at the first relapse, intake of proton pump inhibitors. In treatment of such patients courses of vancomycine and metronidazole, supplemented by probiotics (Sacharomyces boulardi), adsorbents (Colestyraminum, smecta) and rifaximin are applied.Conclusion. The problem of refractory and relapsing forms of Clostridium difficile-associated colitis, requires the further studying to increase treatment efficacy.https://www.gastro-j.ru/jour/article/view/1391clostridium difficile-associated colitisrefractory and relapsing forms
spellingShingle A. A. Sheptulin
Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
clostridium difficile-associated colitis
refractory and relapsing forms
title Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis
title_full Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis
title_fullStr Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis
title_full_unstemmed Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis
title_short Refractory and relapsing forms of <i>Clostridium difficile</i>-associated colitis
title_sort refractory and relapsing forms of i clostridium difficile i associated colitis
topic clostridium difficile-associated colitis
refractory and relapsing forms
url https://www.gastro-j.ru/jour/article/view/1391
work_keys_str_mv AT aasheptulin refractoryandrelapsingformsoficlostridiumdifficileiassociatedcolitis