MedPath

Host Immune Response to Clostridium Difficile Infection (ICD)

Not Applicable
Completed
Conditions
Diarrhea Due to Clostridium Difficile
Interventions
Biological: Blood sampling
Registration Number
NCT02440438
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Clostridium difficile is responsible for up to 25% of reported antibiotic associated diarrhea cases and virtually all cases of pseudomembranous colitis (PMC). The clinical spectrum of C. difficile infection (CDI) varies in severity from asymptomatic carriage to self-limited, mild, watery diarrhea, to PMC, intestinal perforation, toxic megacolon, sepsis, fulminant colitis, and death. In the past decade, the 027/NAP1/BI strain has emerged world-wide and has been implicated in large outbreaks with increased severity, frequent recurrence, and significant mortality. The host immune responses can influence the severity of CDI and play crucial roles in CDI onset, progression, and overall prognosis. Low serum concentrations of antibodies directed against the toxins A\&B of C. difficile have been associated with a higher risk of recurrence. However, there are conflicting reports.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
56
Inclusion Criteria
  • Hospitalized
  • Suffering from diarrhea related to C. difficile
  • Confirmed diagnosis of CDI
  • Informed consent by the patient
  • Affiliated to the social security regime
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Exclusion Criteria
  • Out-patient
  • No confirmed diagnosis of CDI
  • Decline of participation
  • Patient not affiliated to the social security regime
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Clostridium difficile infectionBlood sampling-
Primary Outcome Measures
NameTimeMethod
immune response rateup to 60 days after diagnosis
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Service d'Hygiène, Epidémiologie et Prévention - Hôpital Edouard Herriot

🇫🇷

LYON cedex 03, France

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