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Biologics:how far can they go in Crohn’s disease?

Gastroenterology Report 2022年第1期10卷 155-170页

作者： Katie A.Dunleavy darrell s.pardi Division of Gastroenterology and Hepatology Mayo ClinicRochesterMNUSA

Crohn’s disease is a chronic gastrointestinal inflammatory disorder,characterized by episodes of relapsing and remitting *** the disease mechanism becomes better elucidated,there is a significant increase in the number of available biologic *** article summarizes and synthesizes current Food and Drug Administration-approved biological therapy for Crohn’s disease and examines the positioning of medical therapy as emerging biologics break onto the market.

关键词： Crohn’s disease medical treatment biologics anti-TNFs anti-integrins anti-interleukins JAK inhibitors s1Pinhibitors

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Outcomes in children with Clostridium difficile infection:results from a nationwide survey

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Gastroenterology Report 2016年第4期4卷 293-298,I0002页

作者： Arjun Gupta darrell s pardi Larry M Baddour sahil Khanna Divisions of Infectious Diseases Mayo ClinicRochesterMNUSA Divisions of Gastroenterology and Hepatology Mayo ClinicRochesterMNUSA Department of Internal Medicine University of Texas Southwestern Medical CenterDallasTXUSA

Objective:Hospital-and population-based studies demonstrate an increasing incidence of Clostridium difficile infection(CDI)in adults and children;although pediatric CDI outcomes are incompletely *** analysed United states National Hospital Discharge survey(NHDs)data to study CDI in hospitalized ***:NHDs data for 2005–2009(demographics,diagnoses and discharge status)were obtained;cases and comorbidities were identified using ICD-9 *** univariate and multivariate analyses were performed to ascertain incidence of CDI;associations between CDI and outcomes[length of stay(LOs),colectomy,all-cause in-hospital mortality and discharge to a care facility(DTCF)].Results:Of an estimated 13.8 million pediatric inpatients;46176 had CDI;median age was 3 years;overall incidence was 33.5/10000 *** annual frequency of CDI did not vary from 2005 to 2009(0.24–0.43%;P=0.64).On univariate analyses,children with CDI had a longer median LOs(6 vs 2 days),higher rates of colectomy[odds ratio(OR)2.0;95%confidence interval(CI)1.7–2.4],mortality(OR 2.5;95% CI 2.3–2.7),and DTCF(OR 1.6;95% CI 1.6–1.7)(all Psting for age,sex and comorbidities,CDI was an independent and the strongest predictor of increased LOs(adjusted mean difference,6.4 days;95% CI 5.4–7.4),higher rates of colectomy(OR 2.1;95% CI 1.8–2.5),mortality(OR 2.3;95% CI 2.2–2.5),and DTCF(OR 1.7;95% CI 1.6–1.8)(all Ps from the analysis,children with CDI had higher rates of mortality,DTCF and longer LOs than children without ***:Despite increased awareness and advancements in management,CDI remains a significant problem and is associated with increased LOs,colectomy,in-hospital mortality and DTCF in hospitalized children.

关键词： Clostridium difficile infection children pediatric outcomes epidemiology

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