Zusammenfassung
Die antibiotikaassoziierte Diarrhö bezeichnet eine akute entzündliche Darmstörung, die bei und nach Anwendung von Antibiotika auftritt. Das klinische Spektrum reicht von einer passageren leichten Erhöhung der Stuhlfrequenz bis hin zur pseudomembranösen Kolitis, dem Auftreten eines toxischen Megakolons bis zu letalen Ausgängen [Bartlett 2002, Stein 1999].
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Literatur
Bartlett JG (2002). Clinical practice. Antibiotic-associated diarrhea. N Engl J Med 346: 334–339
Bleichner G, Blehaut H, Mentec H, Moyse D (1997) Saccharomyces boulardii prevents diarrhea in critically ill tubefed patients. A multicenter, randomized, double-blind placebo-controlled trial. Intensive Care Med 23: 517–523
Cremonini F, Di Caro S, Nista EC et al. (2002) Meta-analysis: the effect of probiotic administration on antibiotic-associated diarrhoea. Aliment Pharmacol Ther 16: 1461–1467
D'Souza AL, Rajkumar C, Cooke J, Bulpitt CJ (2002) Probiotics in prevention of antibiotic associated diarrhoea: metaanalysis. BMJ 324: 1–6
Fekety R, Silva J, Kauffmann C, Buggy B (1989) Treatment of antibiotic associated Clostridium difficile Colitis with oral vancomycin: comparison of two dosage regimens. Am J Med 86: 15–19
Gorbach SL, Chang TW, Goldin B (1987) Successful treatment of relapsing Clostridium difficile colitis with Lactobacillus GG. Lancet 26: 1519
Guerrant RL, Van Gilder T, Steiner TS et al. (2001) Practice guidelines for the management of infectious diarrhea. Clin Infect Dis 32: 331–351
Heer M, Sulser H, Hany A (1989) Segmentale, hämorrhagische Colitis nach Amoxicillintherapie. Schweiz Med Wschr 119: 733–735
Johnson S, Samore MH, Farrow KA et al. (1999) Epidemics of diarrhea caused by a clindamycin-resistant strain of Clostridium difficile in four hospitals. N Engl J Med 341: 1645–1651
Lembcke B, Kist M, Lentze MJ et al. (2003) Antibiotic-associated diarrhea: therapeutic aspects and practical guidelines—an interdisciplinary approach to a common problem. Schweiz Rundsch Med Prax. 92: 809–816
McFarland LV, Mulligan ME, Kwok RY (1989). Nosocomial acquistion of Clostridium difficile infection. N Engl J Med 320: 204–210
McFarland LV, Suravicz, CM, Greenberg RN, Stamm WE (1994) A randomized placebo controlled trial of Saccharomyces boulardii in combination with standard antibiotics for Clostridim difficille Colitis. JAMA 271: 1913–1918
McFarland LV, Surawicz CM, Greenberg RN, Fekety R (1995) Prevention of β-Lactam-associated diarrhea by Saccharomyces boulardii compared with placebo. Am J Gastroenterol 90: 439–448
McFarland LV, Elmer GW, Surawicz CM (2002) Breaking the cycle: treatment strategies for 163 cases of recurrent Clostridium difficile disease. Am J Gastroenterol 97: 1769–1775
Moulis H, Vender RJ (1994). Antibiotic-associated hemorrhagic Colitis. J Clin Gastroenterol 18: 227–231
Mrowka CH, Münch R, Rezzonico M, Greminger P (1990). Akute segmentale hämorrhagische Penicillin-assoziierte Kolitis. Dtsch Med Wschr 115: 1750–1753
Stein J (1999) Antibiotika-assozierte Kolitis. In: Caspary WF, Stein J (Hrsg) Darmkrankheiten. Springer, Berlin, Heidelberg New York
Surawicz CM, McFarland LV, Elmer G, Chinn J (1989) Treatment of recurrent Clostridium difficile Colitis with vancomycin and S. boulardii. Am J Gastroenterol 84: 1285–1287
Wistrom J, Norrby SR, Myhre EB et al. (2001) Frequency of antibiotic-associated diarrhoea in 2462 antibiotic-treated hospitalized patients: a prospective study. J Antimicrob Chemother 47: 43–50
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Stein, J. (2005). Antibiotikaassoziierte Diarrhö und pseudomembranöse Kolitis. In: Caspary, W.F., Mössner, J., Stein, J. (eds) Therapie gastroenterologischer Krankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-26660-7_16
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