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Clostridium difficile as a biomarker (Clostridiumdifficile) · dehydrogenase and toxins

机译:艰难梭菌作为生物标志物(艰难梭菌)·脱氢酶和毒素

摘要

Clostridium difficile disease is associated with a range of clinical presentations, from carriers with other causes of symptoms, to mild and self-limited diarrhea, and even life-threatening pseudomembranous colon. Over to the flames and giant colon. C. Difficile cases are treated differently depending on the presence and then the severity of the disease. Patients who are carriers may not receive treatments that may cause disease. Mild to moderate cases can also be treated with metronidazole, while severe and recurrent cases are often treated with vancomycin or fidaxomycin. Current molecular assays include toxin-producing C.I. It is very sensitive to detect difficile, and the carrier status cannot be excluded. C. Utilizing a biomarker panel that includes difficile antigen (GDH), toxins A and B, and fecal lactoferrin, clinicians can use C.I. It becomes possible to distinguish between the carrier state and the active state of difficile and allows monitoring to assess the effectiveness of the treatment.
机译:艰难梭菌疾病与一系列临床表现有关,从具有其他症状原因的携带者到轻度和自限性腹泻,甚至威胁生命的假膜性结肠。走向火焰和巨大的结肠。 C.难点病例的治疗取决于疾病的存在以及严重程度。携带者的患者可能未接受可能导致疾病的治疗。轻度至中度病例也可以用甲硝唑治疗,重症和复发病例通常用万古霉素或非达霉素治疗。当前的分子测定法包括产生毒素的C.I.检测衍射非常敏感,并且不能排除载体状态。 C.利用包括难辨抗原(GDH),毒素A和B以及粪便乳铁蛋白的生物标志物,临床医生可以使用C.I.。可以区分艰难梭菌的载体状态和活性状态,并可以进行监测以评估治疗的有效性。

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