Infección recurrente por Clostridium difficile en pediatría. Reporte de dos casos y revisión de la literatura

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dc.contributor.authorDaza Carreño, Wilson
dc.contributor.authorDadán, Silvana
dc.contributor.authorHiguera, Michelle
dc.date.accessioned2020-07-15T22:45:05Z
dc.date.available2020-07-15T22:45:05Z
dc.date.issued2016
dc.description.abstractenglishdence of some bacterial infections such as Clostridium difficile (CD). Despite appropriate treatment, these infections have a high recurrence rate which requires appropriate management and monitoring guidelines. Methodology: This article presents the cases of two pediatric patients who experienced CD reinfection on more than one episode. Patients were treated in Gastroenterology, Hepatology and Nutrition Unit of Gastronutriped in Bogotá, Colombia. In addition, the article provides an update on identification of risk factors, diagnosis and treatment of recurrent CD infections. Conclusions: Cases of CD infections in the pediatric population present a challenge because of their similarity to other infectious processes. When there are bloody stools in a patient with a history of prior use of antibiotics, the infection should be suspected. Reinfection can occur up to 3 months after the initial infection. Management of the first reinfection in mild cases does not require antibiotics, but moderate or severe may be treated with metronidazole if it was used for initial treatment. In cases of a second reinfection, vancomycin should be used. The most appropriate treatment for cases of three or more episodes is still a matter of debate. In recent years, the use of probiotics and fecal microbiota transplantation have shown great benefits in cases of reinfection, though the available evidence is still inconclusiveeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.22516/25007440.75
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0120-9957
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3516
dc.language.isoeng
dc.publisherAsociacion Colombiana de Gastroenterologiaspa
dc.publisher.journalRevista colombiana de gastroenterologiaspa
dc.relation.ispartofseriesRevista colombiana de gastroenterologia, 0120-9957, Vol. 31, Nro. 1, 2016, p.61-71spa
dc.relation.urihttps://revistagastrocol.com/index.php/rcg/article/view/75
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2016-01-01
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.decsDiarreaspa
dc.subject.decsUso excesivo de medicamentos recetadosspa
dc.subject.decsRecurrenciaspa
dc.subject.keywordsClostridium difficilespa
dc.subject.keywordsPediatricsspa
dc.subject.keywordsAntibacteriaspa
dc.titleInfección recurrente por Clostridium difficile en pediatría. Reporte de dos casos y revisión de la literaturaspa
dc.title.translatedReport of two cases of recurrent Clostridium difficile infections in children and literature reviewspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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