Transcription of QQ部カンファレンス - matsuyama.jrc.or.jp
1 Clostridium difficile (CDI) /CD (CDAD) ICT 2015/10/9 QQ 80 6 2 C WBC 34410, CRP CT CMZ Op 80 WBC 3 Clinical pearl WBC CDI ( ) CD (+) 6 4 38 C CDI WBC 10640, CRP CD (+) 60 39 C 60 ~ ARDS NIPPV VCM CDI CDI/CDAD Clostridium difficile(CD) 5 !
2 CD CD MRSA ? CID1998 <1 1 2 2 3 3 4 4< <1 1% >4 50% % 50 40 30 20 10 0 A, B 3 4 25~30% Clostridium difficile(CD) CDI/CDAD 89~100% 100% CD / QUIK CHEK COMPLETE 2011, 21: 253-259 + - + 65 4 69 - 11 128 139 76 132 208 + - + 20 29 49 - 1 158 159 21 187 208 CD / 94% 92% 41% 99% CDI CD / +/+ CDI -/- CDI +/-) +/+ CDI +/-) 2015, 64: 216-220 Ns > 60 > C WBC > 15000 / l Alb < g/dl 2 or (+) CDI/CDAD JAMA 2009.
3 301: 954-962 CDI/CDAD UpToDate Frequently associated Occasionally associated Rarely associated ST CDI 35 / 2924 / :10~14 4~6 3~4 1 4 etc. (500mg)1Vx3 / ( etc.) 1252 /V ( ) (AAD) CDI CDI/CDAD VCM+ + 2 VCM VCM+ NEJM 2013 P= P= P< P< (n=16) (n=16) (n=13) (n=13) (%) ( ) Am J Gastroenterol 2013.
4 108: 177-185 ( Ca) Am J Gastroenterol 2013; 108: 177-185 Take Home Message WBC CDI CD CDI
