Management of adult Clostridium difficile digestive contaminations: a literature review
Fanny Mathias, Christophe Curti, Marc Montana, Charleric Bornet, Patrice Vanelle,
European Journal of Clinical Microbiology & Infectious Diseases, 38 209-231 (2019)
Management of adult Clostridium difficile digestive contaminations: a literature review
Fanny Mathias, Christophe Curti, Marc Montana, Charleric Bornet, Patrice Vanelle,
European Journal of Clinical Microbiology & Infectious Diseases, 38 209-231 (2019)
Clostridium difficile infections (CDI) dramatically increased during the last decade and cause a major public health problem. Current treatments are limited by the high disease recurrence rate, severity of clinical forms, disruption of the gut microbiota, and colonization by vancomycin-resistant enterococci (VRE). In this review, we resumed current treatment options from official recommendation to promising alternatives available in the management of adult CDI, with regard to severity and recurring or non-recurring character of the infection. Vancomycin remains the first-line antibiotic in the management of mild to severe CDI. The use of metronidazole is discussed following the latest US recommendations that replaced it by fidaxomicin as first-line treatment of an initial episode of non-severe CDI. Fidaxomicin, the most recent antibiotic approved for CDI in adults, has several advantages compared to vancomycin and metronidazole, but its efficacy seems limited in cases of multiple recurrences. Innovative therapies such as fecal microbiota transplantation (FMT) and antitoxin antibodies were developed to limit the occurrence of recurrence of CDI. Research is therefore very active, and new antibiotics are being studied as surotomycin, cadazolid, and rinidazole.
Efficient Hyperpolarization of U-C-13-Glucose Using Narrow-Line UV-Generated Labile Free Radicals
Andrea Capozzi, Saket Patel, Christine Pepke Gunnarsson, Irene Marco-Rius, Arnaud Comment, Magnus Karlsson, Mathilde H. Lerche, Olivier Ouari, Jan Henrik Ardenkjaer-Larsen,
Angewandte Chemie-International Edition, 58 1334-1339 (2019)
Efficient Hyperpolarization of U-C-13-Glucose Using Narrow-Line UV-Generated Labile Free Radicals
Andrea Capozzi, Saket Patel, Christine Pepke Gunnarsson, Irene Marco-Rius, Arnaud Comment, Magnus Karlsson, Mathilde H. Lerche, Olivier Ouari, Jan Henrik Ardenkjaer-Larsen,
Angewandte Chemie-International Edition, 58 1334-1339 (2019)
Free radicals generated by UV-light irradiation of a frozen solution containing a fraction of pyruvic acid (PA) have demonstrated their dissolution dynamic nuclear polarization (dDNP) potential, providing up to 30% [1-C-13] PA liquid-state polarization. Moreover, their labile nature has proven to pave a way to nuclear polarization storage and transport. Herein, differently from the case of PA, the issue of providing dDNP UV-radical precursors (trimethylpyruvic acid and its methyl-deuterated form) not involved in any metabolic pathway was investigated. The C-13 dDNP performance was evaluated for hyperpolarization of [U-C-13(6),1,2,3,4,5,6,6-d(7)]-D-glucose. The generated UV-radicals proved to be versatile and highly efficient polarizing agents, providing, after dissolution and transfer (10 s), a C-13 liquid-state polarization of up to 32%.