[Clostridium Difficile: Monoclonal Antibody Therapy and Vaccines]

Dtsch Med Wochenschr. 2019 Jun;144(12):842-849. doi: 10.1055/a-0882-7530. Epub 2019 Jun 18.
[Article in German]

Abstract

Hospital-acquired Clostridium difficile infections have become much more frequent in recent years. Besides treatment with antibiotics and fecal microbiota transplant, new preventive strategies are available now. Bezlotoxumab is an antibody against toxin B and may reduce the risk of relapse by roughly 10 %. Several vaccine candidates against toxins A and B and surface-associated antigens were immunogenic and are tested in clinical trials to investigate the efficacy and safety.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use*
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Neutralizing / therapeutic use*
  • Bacterial Vaccines / therapeutic use*
  • Broadly Neutralizing Antibodies
  • Clostridioides difficile / immunology
  • Clostridium Infections* / immunology
  • Clostridium Infections* / microbiology
  • Clostridium Infections* / prevention & control
  • Clostridium Infections* / therapy
  • Fecal Microbiota Transplantation
  • Humans
  • Middle Aged

Substances

  • Anti-Bacterial Agents
  • Antibodies, Monoclonal
  • Antibodies, Neutralizing
  • Bacterial Vaccines
  • Broadly Neutralizing Antibodies
  • bezlotoxumab