Effects of antibiotics and other drugs on toxin production in Clostridium difficile in vitro and in vivo

Author:

Barc M C1,Depitre C1,Corthier G1,Collignon A1,Su W J1,Bourlioux P1

Affiliation:

1. Laboratoire de Microbiologie, Faculté de Pharmacie, Centre d'Etudes Pharmaceutiques, Châtenay-Malabry, France.

Abstract

In an attempt to understand more completely why patients treated with phenothiazines (chlorpromazine and cyamemazine), methotrexate, and certain antibiotics such as clindamycin have an increased risk of developing pseudomembranous colitis, the production of toxins A and B by Clostridium difficile in the presence of these drugs was measured in vitro as well as in vivo by using axenic mice. None of the drugs tested increased the production of toxins either in vitro or in vivo.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference32 articles.

1. Antimicrobial agents and Clostridium difficile in acute enteric disease;Aronsson B.;J. Infect. Dis.,1985

2. La flore colique normale et ses fonctions;Audiger J. C.;Rev. Prat.,1982

3. Antimicrobial agents implicated in Clostridium difficile toxin associated diarrhea or colitis;Bartlett J. G.;Johns Hopkins Med. J.,1981

4. Treatment of antibiotic associated pseudomembranous colitis;Bartlett J. G.;Rev. Infect. Dis.,1984

5. Role of Clostridium difficile in antibiotic associated pseudomembranous colitis;Bartlett J. G.;Gastroenterology,1978

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