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Antibiotic-Associated Diarrhea

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Encyclopedia of Metagenomics
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Synonyms

Antibiotic-associated colitis; C. difficile AAD

Definition

Antibiotic-associated diarrhea is diarrhea (abnormally frequent intestinal evacuation with more or less fluid stools) that develops within a few hours following antibiotic treatment up to 8 weeks after antibiotic discontinuation.

Introduction

The discovery of antibiotics is one of the most significant scientific achievements to date. Although antibiotics help treat most bacterial infections, they can have short- and/or long-lasting effects on the gastrointestinal tract microbiota depending on the class of antibiotic and the course of treatment. Antibiotic-associated diarrhea (AAD) is a common problem that results in extended hospital stays. The lack of treatment options for patients with refractory and recurrent disease further increases the morbidity and cost of this condition. The incidence of AAD is hard to pinpoint, but it is estimated that between 5 % and 25 % of patients taking antibiotics will develop diarrhea....

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References

  • Antonopoulos DA, Huse SM, Morrison HG, et al. Reproducible community dynamics of the gastrointestinal microbiota following antibiotic perturbation. Infect Immun. 2009;77(6):2367–75.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Bartlett JG. Clinical practice. Antibiotic-associated diarrhea. N Engl J Med. 2002;346(5):334–9.

    Article  PubMed  Google Scholar 

  • Bartlett JG, Onderdonk AB, Cisneros RL, et al. Commentary: Bartlett JG, Onderdonk AB, Cisneros RL, Kasper DL. Clindamycin-associated colitis due to a toxin-producing species of Clostridium in hamsters. J Infect Dis 1977; 136:701. J Infect Dis. 2004;190(1):202–9

    Google Scholar 

  • Beaugerie L, Petit JC. Microbial-gut interactions in health and disease. Antibiotic-associated diarrhoea. Best Pract Res Clin Gastroenterol. 2004;18(2):337–52.

    Article  CAS  PubMed  Google Scholar 

  • Buffie CG, Jarchum I, Equinda M, et al. Profound alterations of intestinal microbiota following a single dose of clindamycin results in sustained susceptibility to Clostridium difficile-induced colitis. Infect Immun. 2012;80(1):62–73.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Chang JY, Antonopoulos DA, Kalra A, et al. Decreased diversity of the fecal Microbiome in recurrent Clostridium difficile-associated diarrhea. J Infect Dis. 2008;197(3):435–8.

    Article  PubMed  Google Scholar 

  • Dethlefsen L, Relman DA. Incomplete recovery and individualized responses of the human distal gut microbiota to repeated antibiotic perturbation. Proc Natl Acad Sci U S A. 2011;108 Suppl 1:4554–61.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Gill SR, Pop M, Deboy RT, et al. Metagenomic analysis of the human distal gut microbiome. Science. 2006;312(5778):1355–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Greenblum S, Turnbaugh PJ, Borenstein E. Metagenomic systems biology of the human gut microbiome reveals topological shifts associated with obesity and inflammatory bowel disease. Proc Natl Acad Sci U S A. 2012;109(2):594–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Hill DA, Hoffmann C, Abt MC, et al. Metagenomic analyses reveal antibiotic-induced temporal and spatial changes in intestinal microbiota with associated alterations in immune cell homeostasis. Mucosal Immunol. 2010;3(2):148–58.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Manges AR, Labbe A, Loo VG, et al. Comparative metagenomic study of alterations to the intestinal microbiota and risk of nosocomial Clostridium difficile-associated disease. J Infect Dis. 2010;202(12):1877–84.

    Article  PubMed  Google Scholar 

  • McFarland LV. Antibiotic-associated diarrhea: epidemiology, trends and treatment. Future Microbiol. 2008;3(5):563–78.

    Article  PubMed  Google Scholar 

  • O’Connor JR, Johnson S, Gerding DN. Clostridium difficile infection caused by the epidemic BI/NAP1/027 strain. Gastroenterology. 2009;136(6):1913–24.

    Article  PubMed  Google Scholar 

  • Qin J, Li R, Raes J, et al. A human gut microbial gene catalogue established by metagenomic sequencing. Nature. 2010;464(7285):59–65.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Reeves AE, Theriot CM, Bergin IL, et al. The interplay between microbiome dynamics and pathogen dynamics in a murine model of Clostridium difficile Infection. Gut Microbes. 2011;2(3):145–58.

    Article  PubMed Central  PubMed  Google Scholar 

  • Robinson CJ, Young VB. Antibiotic administration alters the community structure of the gastrointestinal microbiota. Gut Microbes. 2010;1(4):279–84.

    Article  PubMed Central  PubMed  Google Scholar 

  • Turnbaugh PJ, Ley RE, Mahowald MA, et al. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature. 2006;444(7122):1027–31.

    Article  PubMed  Google Scholar 

  • Ubeda C, Taur Y, Jenq RR, et al. Vancomycin-resistant Enterococcus domination of intestinal microbiota is enabled by antibiotic treatment in mice and precedes bloodstream invasion in humans. J Clin Invest. 2010;120(12):4332–41.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Young VB, Schmidt TM. Antibiotic-associated diarrhea accompanied by large-scale alterations in the composition of the fecal microbiota. J Clin Microbiol. 2004;42(3):1203–6.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Casey Theriot .

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Theriot, C., Young, V.B. (2014). Antibiotic-Associated Diarrhea. In: Nelson, K. (eds) Encyclopedia of Metagenomics. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6418-1_64-3

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  • DOI: https://doi.org/10.1007/978-1-4614-6418-1_64-3

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  • Online ISBN: 978-1-4614-6418-1

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