Literature DB >> 82138

Diarrhoea and pseudomembranous colitis after gastrointestinal operations. A prospective study.

M R Keighley, D W Burdon, J Alexander-Williams, N Shinagawa, Y Arabi, H Thompson, D Youngs, S Bentley, R H George.   

Abstract

241 patients who had gastrointestinal operations were studied prospectively. Postoperative diarrhoea occurred in 58 patients (24%) and was significantly more common after exposure to antibiotics. 9 patients (4%) had high titres of a neutralisable faecal toxin characteristic of pseudomembranous colitis. Toxigenic Clostridium difficile strains were isolated from the stools of all patients with neutralisable faecal toxin. If pseudomembranous colitis is defined as the presence of neutralisable faecal toxin, then the diagnosis is often missed by sigmoidoscopy and rectal biopsy.

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Year:  1978        PMID: 82138     DOI: 10.1016/s0140-6736(78)92151-7

Source DB:  PubMed          Journal:  Lancet        ISSN: 0140-6736            Impact factor:   79.321


  18 in total

1.  The impact of Clostridium difficile on a surgical service: a prospective study of 374 patients.

Authors:  K C Kent; M S Rubin; L Wroblewski; P A Hanff; W Silen
Journal:  Ann Surg       Date:  1998-02       Impact factor: 12.969

2.  Rapid identification of Clostridium difficile by direct detection of volatile organic acids from primary isolation media.

Authors:  T Makin
Journal:  J Clin Pathol       Date:  1984-06       Impact factor: 3.411

3.  Prescribing clindamycin.

Authors: 
Journal:  Br Med J (Clin Res Ed)       Date:  1981-05-16

4.  The effect of bowel preparation on colonic surgery.

Authors:  M M Hares; J Alexander-Williams
Journal:  World J Surg       Date:  1982-03       Impact factor: 3.352

5.  Pseudomembranous colitis: multiple relapses after treatment with metronidazole.

Authors:  D Portnoy; A Soneji; D Murray; G K Richards
Journal:  Can Med Assoc J       Date:  1981-06-15       Impact factor: 8.262

6.  Antibiotic-associated pseudomembranous colitis: pathogenesis and management.

Authors:  M R Keighley
Journal:  Drugs       Date:  1980-07       Impact factor: 9.546

7.  The effect of a single intravenous dose of cefotaxime on the faecal flora.

Authors:  D W Burdon; N S Ambrose; M R Keighley; D Youngs
Journal:  Infection       Date:  1985       Impact factor: 3.553

8.  Commercial latex agglutination test for detection of Clostridium difficile-associated diarrhea.

Authors:  M T Kelly; S G Champagne; C H Sherlock; M A Noble; H J Freeman; J A Smith
Journal:  J Clin Microbiol       Date:  1987-07       Impact factor: 5.948

9.  Isolation of Clostridium difficile from hospitalized patients without antibiotic-associated diarrhea or colitis.

Authors:  N M Varki; T I Aquino
Journal:  J Clin Microbiol       Date:  1982-10       Impact factor: 5.948

10.  Concomitance of cytotoxigenic and non-cytotoxigenic Clostridium difficile in stool specimens.

Authors:  S P Borriello; P Honour
Journal:  J Clin Microbiol       Date:  1983-10       Impact factor: 5.948

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