Controversies Surrounding Clostridium difficile Infection in Infants and Young Children

Clostridium difficile is a frequent cause of antibiotic-associated diarrhea in adults and older children. However, as many as 80% of infants can be asymptomatically colonized. The reasons for this have not been well established but are believed to be due to differences in toxin receptors or toxin in...

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Main Authors: Maribeth R. Nicholson, Isaac P. Thomsen, Kathryn M. Edwards
Format: Article
Language:English
Published: MDPI AG 2014-06-01
Series:Children
Subjects:
Online Access:http://www.mdpi.com/2227-9067/1/1/40
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author Maribeth R. Nicholson
Isaac P. Thomsen
Kathryn M. Edwards
author_facet Maribeth R. Nicholson
Isaac P. Thomsen
Kathryn M. Edwards
author_sort Maribeth R. Nicholson
collection DOAJ
description Clostridium difficile is a frequent cause of antibiotic-associated diarrhea in adults and older children. However, as many as 80% of infants can be asymptomatically colonized. The reasons for this have not been well established but are believed to be due to differences in toxin receptors or toxin internalization. Determining which children who test positive for C. difficile warrant treatment is exceedingly difficult, especially in the setting of increased rates of detection and the rising risk of disease in children lacking classic risk factors for C. difficile.
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spelling doaj.art-16f56dbae0ec40e8806758ea6983776c2022-12-21T22:00:35ZengMDPI AGChildren2227-90672014-06-0111404710.3390/children1010040children1010040Controversies Surrounding Clostridium difficile Infection in Infants and Young ChildrenMaribeth R. Nicholson0Isaac P. Thomsen1Kathryn M. Edwards2Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Vanderbilt University School of Medicine, 2200 Children's Way, Nashville TN 37232, USADivision of Pediatric Infectious Disease, Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, 2200 Children's Way, Nashville, TN 37232, USADivision of Pediatric Infectious Disease, Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, 2200 Children's Way, Nashville, TN 37232, USAClostridium difficile is a frequent cause of antibiotic-associated diarrhea in adults and older children. However, as many as 80% of infants can be asymptomatically colonized. The reasons for this have not been well established but are believed to be due to differences in toxin receptors or toxin internalization. Determining which children who test positive for C. difficile warrant treatment is exceedingly difficult, especially in the setting of increased rates of detection and the rising risk of disease in children lacking classic risk factors for C. difficile.http://www.mdpi.com/2227-9067/1/1/40Clostridium difficilecolonizationneonatesdiarrhea
spellingShingle Maribeth R. Nicholson
Isaac P. Thomsen
Kathryn M. Edwards
Controversies Surrounding Clostridium difficile Infection in Infants and Young Children
Children
Clostridium difficile
colonization
neonates
diarrhea
title Controversies Surrounding Clostridium difficile Infection in Infants and Young Children
title_full Controversies Surrounding Clostridium difficile Infection in Infants and Young Children
title_fullStr Controversies Surrounding Clostridium difficile Infection in Infants and Young Children
title_full_unstemmed Controversies Surrounding Clostridium difficile Infection in Infants and Young Children
title_short Controversies Surrounding Clostridium difficile Infection in Infants and Young Children
title_sort controversies surrounding clostridium difficile infection in infants and young children
topic Clostridium difficile
colonization
neonates
diarrhea
url http://www.mdpi.com/2227-9067/1/1/40
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AT kathrynmedwards controversiessurroundingclostridiumdifficileinfectionininfantsandyoungchildren