scholarly journals Diagnosing Clostridium difficile-associated diarrhea using enzyme immunoassay: the clinical significance of toxin negativity in glutamate dehydrogenase-positive patients

2016 ◽  
pp. 93 ◽  
Author(s):  
Shu Okugawa ◽  
Kazuhito Yuhashi ◽  
Yuka Yagihara ◽  
Yoshiki Miasawa ◽  
Tomoaki Sato ◽  
...  
2015 ◽  
Vol 53 (6) ◽  
pp. 1931-1934 ◽  
Author(s):  
K. A. Davies ◽  
C. E. Berry ◽  
K. A. Morris ◽  
R. Smith ◽  
S. Young ◽  
...  

Prevention and management ofClostridium difficileinfection (CDI) can be improved by rapid and reliable diagnostics. The VidasC. difficileglutamate dehydrogenase assay had performance comparable to that of the Quik Chek-60 assay (overall agreement, 95%) and a sensitivity of >93%; thus, it is suitable as the first test in two-stage algorithms for a CDI diagnosis.


2019 ◽  
Vol 17 (6) ◽  
pp. 92-96
Author(s):  
I. A. Klyuchnikova ◽  
I. N. Petukhova ◽  
Z. V. Grigorievskaya ◽  
N. S. Bagirova ◽  
I. V. Tereshchenko ◽  
...  

The purpose of the studywas to determine the role of antibiotics as a risk factor of Clostridium difficile-associated diarrhea in hospitalized cancer patients.Material and Methods. The study included 844 hospitalized cancer patients with diarrhea. The presence of Clostridium difficile toxins A and B in the fecal samples was determined by enzyme immunoassay.Results.Clostridium difficile toxins A and B were detected in 100 cancer patients (42 % men and 58 % women). The incidence of Clostridium difficile-associated diarrhea was higher in women than in men (р<0.02). Patients with hemoblastosis and gastrointestinal tumors were more susceptible to the development of Clostridium difficile associated diarrhea (p<0.02). The use of cephalosporin antibiotics was the main risk factor (р<0.001). In our study, 46 % of the patients took antibiotics.Conclusion.Clostridium difficile was shown to play a significant role in the development of diarrhea in cancer patients, and early detection of Clostridium difficile infection contributes to the early onset of therapy.


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