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艰难梭菌与抗生素相关腹泻的研究进展
引用本文:朱佳源,谭周进,郑淘,肖嫩群.艰难梭菌与抗生素相关腹泻的研究进展[J].中国感染控制杂志,2021,20(12):1168-1173.
作者姓名:朱佳源  谭周进  郑淘  肖嫩群
作者单位:1. 湖南中医药大学, 湖南 长沙 410208;2. 湖南中医药大学药学院食品药品工程系, 湖南 长沙 410208
基金项目:湖南省自然科学基金(2020JJ4468);湖南中医药大学生物工程重点学科资助(校行科字[2018]3号)
摘    要: 抗生素相关性腹泻(AAD)是指应用抗生素后发生的、与抗生素有关的腹泻,是常见的药物不良反应,其发病机制并未完全阐明。艰难梭菌(CD)是一种具有芽孢结构厌氧的肠道致病菌,被认为是引起AAD的常见原因,越来越多研究表明AAD与艰难梭菌感染(CDI)相关,但CD致AAD的作用机制尚不十分明确。本文通过阐明AAD与CD的关系,并从多个方面分析CD致AAD可能作用机制以及目前存在的一些相关治疗方法,以期改进AAD的治疗与预防。

关 键 词:艰难梭菌  抗生素相关腹泻  作用机制  治疗方法  
收稿时间:2021-04-21

Advances in Clostridium difficile and antibiotic-associated diarrhea
ZHU Jia-yuan,TAN Zhou-jin,ZHENG Tao,XIAO Nen-qun.Advances in Clostridium difficile and antibiotic-associated diarrhea[J].Chinese Journal of Infection Control,2021,20(12):1168-1173.
Authors:ZHU Jia-yuan  TAN Zhou-jin  ZHENG Tao  XIAO Nen-qun
Institution:1. Hunan University of Chinese Medicine, Changsha 410208, China;2. Department of Food and Drug Engineering, School of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China
Abstract:Antibiotic-associated diarrhea (AAD) refers to the diarrhea related to antibiotics after the application of antibiotics, it is a common adverse drug reaction, and its pathogenesis has not been fully elucidated. Clostridium difficile (CD) is an anaerobic enteropathogen with spore structure, which is considered to be a common cause of AAD, more and more studies have shown that AAD is related to CD infection (CDI), but the mechanism of CD-induced AAD is not very clear. This paper elucidates the relationship between AAD and CD, analyzes the possible mechanism of CD-induced AAD and some currently existing treatment methods from multiple aspects, so as to improve the treatment and prevention of AAD.
Keywords:Clostridium difficile  antibiotic-associated diarrhea  mechanism of action  treatment method  
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