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A Protocol to Characterize the Morphological Changes of Clostridium difficile in Response to Antibiotic Treatment
Published on: May 25, 2017
Diagnosis of Clostridium difficile Infections in Children
Stella Antonara1, Amy L Leber2
1Nationwide Children's Hospital, Department of Laboratory Medicine, Columbus, Ohio, USA stella.antonara@nationwidechildrens.org.
Insights
Diagnosing Clostridium difficile infection in children presents unique challenges. This review examines pediatric testing methods and performance data for accurate Clostridium difficile diagnosis.
Area of Science:
- Pediatric Infectious Diseases
- Clinical Microbiology
- Diagnostic Testing
Background:
- Clostridium difficile infection (CDI) diagnosis in children differs from adults.
- Standard CDI testing methods are used across age groups.
- Limited performance data exists for pediatric CDI testing.
Purpose of the Study:
- To review challenges in pediatric Clostridium difficile infection testing.
- To assess available performance data for pediatric CDI diagnostic tests.
- To review current guidelines for CDI testing in children.
Main Methods:
- Literature review of CDI testing methodologies.
- Analysis of performance characteristics of diagnostic tests in pediatric populations.
- Review of existing clinical practice guidelines.
Main Results:
- Pediatric CDI testing faces unique diagnostic considerations.
- Existing data on test performance in children is limited.
- Guidance for pediatric CDI testing requires further evaluation.
Conclusions:
- Accurate Clostridium difficile diagnosis in children requires careful consideration of testing methods.
- More research is needed on the performance of CDI tests in pediatric populations.
- Updated guidelines may be necessary to optimize pediatric CDI testing.
Abstract:
The detection and diagnosis of Clostridium difficile infection in pediatric populations have some unique considerations in comparison to testing in adults. The testing methodologies, including toxigenic culture, cell cytotoxicity, antigen detection, and, more recently, molecular testing, are the same in all age groups. However, limited data exist on the specific performance characteristics in children. In this review, we focus on the challenges of testing in pediatric populations and assess the available data on test performance in these populations. Additionally, a review of the existing guidance for testing is provided.
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