Clostridioides Infection in Patients with Inflammatory Bowel Disease

Mi Rae Lee, Eun Soo Kim

Research output: Contribution to journalReview articlepeer-review

Abstract

Inflammatory bowel disease (IBD), comprising Crohn's disease and ulcerative colitis, is a chronic inflammatory condition of the gastrointestinal tract, which is often accompanied by altered gut microbial composition. Gut dysbiosis in IBD is considered to be the reason for the high risk of Clostridioides difficile infection (CDI) in patients with IBD. Therefore, CDI should be evaluated in IBD patients with a symptom flare. Medical treatment of non-severe CDI in IBD is similar to that in non-IBD patients and includes oral vancomycin or fidaxomicin. The risk of recurrent CDI in IBD is higher than in non-IBD patients and this could be mitigated by fecal microbiota transplantation. As CDI may worsen the clinical outcomes of IBD, patients should be carefully monitored and an escalation of IBD therapy needs to be considered when there is no improvement seen with the antimicrobial treatment of CDI. This review discusses the risk, pathophysiology, diagnosis, and management of CDI in IBD.

Original languageEnglish
Pages (from-to)66-71
Number of pages6
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume80
Issue number2
DOIs
StatePublished - 25 Aug 2022

Keywords

  • Clostridioides difficile infection
  • Colitis, ulcerative
  • Crohn disease
  • Inflammatory bowel diseases

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