Abstract:
Infections from Clostridioides difficile (often called C. diff) have long presented challenges for both patients and clinicians. Traditionally, C. diff has been considered a nosocomial infection, but in recent years, a noticeable spike in community-acquired cases has occurred. C. diff infection (CDI) testing is often complicated, as various testing options with differing sensitivity and specificity for active infection are available. Also, recent guideline changes have altered the recommended treatment of infection. This article discusses recent changes to both the diagnosis and management of CDI and how they can be applied to everyday NP practice.
摘要:
艰难梭菌(通常称为C.diff)感染长期以来对患者和临床医生都提出了挑战。传统上,C.diff被认为是医院感染,但近年来,社区获得性病例明显激增。C.diff感染(CDI)测试通常很复杂,作为具有不同的敏感性和特异性的活动性感染的各种测试选项是可用的。此外,最近的指南变化改变了推荐的感染治疗方法.本文讨论了CDI的诊断和管理的最新变化,以及如何将其应用于日常NP实践。