Current updates in management of Clostridium difficile infection in cancer patients

Curr Med Res Opin. 2019 Mar;35(3):473-478. doi: 10.1080/03007995.2018.1487389. Epub 2018 Jul 5.

Abstract

Background: Clostridium difficile infection (CDI) is a significant health burden, now recognized as the leading cause of acquired diarrhea in patients receiving antibiotic therapy. Complications of infection with this pathogen include severe diarrhea, causing electrolyte imbalances, dehydration, hemodynamic instability, toxic megacolon, shock, and death. Hence it is extremely paramount to stay updated on management options for this infection, especially in cancer patients.

Review: This article presents an in-depth review of literature on the treatment modalities available for CDI in cancer patients. Relevant articles highlighting therapeutic and symptomatic management of CDI patients with underlying malignancy have been summarized.

Conclusions: Despite the current options available, more studies are needed to assess the newer therapeutic options that are being employed for populations other than cancer patients.

Keywords: Anti-diarrheal; Antibiotic; Cancer; Fecal transplant.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Clostridium Infections / drug therapy*
  • Diarrhea / complications
  • Humans
  • Neoplasms / complications*

Substances

  • Anti-Bacterial Agents