{"id":5034,"date":"2023-03-09T06:30:00","date_gmt":"2023-03-09T09:30:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=5034"},"modified":"2023-03-09T08:52:08","modified_gmt":"2023-03-09T11:52:08","slug":"qual-o-tratamento-atual-da-colite-por-clostridioide-difficile-em-adultos","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/intestino\/qual-o-tratamento-atual-da-colite-por-clostridioide-difficile-em-adultos\/","title":{"rendered":"Qual o tratamento atual da colite por Clostridioide difficile em adultos?"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/5034?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/5034?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p>A infec\u00e7\u00e3o pelo <strong><em>Clostridioide difficile<\/em><\/strong> (antigo <em>Clostridium difficile<\/em>)&nbsp;\u00e9 uma importante causa de diarreia associada ao uso de antibi\u00f3ticos. Praticamente qualquer antibi\u00f3tico pode provocar esse dist\u00farbio, mas a clindamicina, as penicilinas (como a ampicilina e a amoxicilina), as cefalosporinas (como a ceftriaxona) e as fluoroquinolonas (como o levofloxacino e ciprofloxacino) est\u00e3o mais frequentemente envolvidas.&nbsp;<\/p>\n\n\n\n<p>O tratamento da colite pelo Clostridioide difficile ainda \u00e9 um desafio na pr\u00e1tica cl\u00ednica. A primeira conduta a se adotar \u00e9 a <strong>interrup\u00e7\u00e3o do antibi\u00f3tico causador da colite<\/strong>.<\/p>\n\n\n\n<p>Inicialmente alguns conceitos precisam estar bem definidos, tais como:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Colite grave: quando leuc\u00f3citos &gt; 15000, creatinina &gt; 1,5 ou temperatura &gt; 38,5\u00b0.<\/li>\n\n\n\n<li>Colite fulminante: presen\u00e7a de hipotens\u00e3o ou choque, \u00edleo paral\u00edtico ou megac\u00f3lon t\u00f3xico.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>As recomenda\u00e7\u00f5es atuais s\u00e3o:<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><div class=\"pcrstb-wrap\"><table><tbody><tr><td><br><br><strong>Primeiro epis\u00f3dio n\u00e3o grave<\/strong><\/td><td>&#8211; Vancomicina VO 125mg 6\/6h 10 dias <strong>ou<\/strong><br>&#8211; Fidaxomicina 200mg VO 12\/12h 10 dias\u00a0<br>&#8211; Na indisponibilidade: Metronidazol 500mg VO 8\/8h 10-14 dias<\/td><\/tr><tr><td><br><br><br><br><strong>Primeira recorr\u00eancia n\u00e3o grave<\/strong><\/td><td>&#8211; Vancomicina desmame lento (125mg 6\/6h 10-14 dias, 12\/12h por 7 dias, 1 x dia por 7 dias e a cada 2-3 dias por 2-8 semanas) <strong>ou<\/strong><br>&#8211; Fidaxomicina 200mg VO 12\/12h 10 dias (caso tenha usado vanco) <strong>ou<\/strong><br>&#8211; Vancomicina dose convencional + bezlotoxumabe (10mg\/kg IV dose \u00fanica se: segundo epis\u00f3dio de colite ocorre dentro de 6 meses do epis\u00f3dio inicial e >65 anos e\/ou imunodeprimidos)<\/td><\/tr><tr><td><br><strong>Segunda recorr\u00eancia n\u00e3o grave<\/strong><\/td><td><br>&#8211; Transplante de microbiota fecal <strong>ou\u00a0<\/strong><br>&#8211; Fidaxomicina pulsado (200mg 12\/2h 5 dias e depois 200mg em dias alternados por 20 dias) <strong>ou\u00a0<\/strong><br>&#8211; Vancomicina desmame lento <strong>ou\u00a0<\/strong><br>&#8211; Fidaxomicina dose convencional <strong>ou<\/strong> vancomicina dose convencional + beztoloxumabe\u00a0<\/td><\/tr><tr><td><\/td><td><\/td><\/tr><tr><td><br><strong>Primeiro epis\u00f3dio grave<\/strong><\/td><td>&#8211; Fidaxomicina <strong>ou<\/strong> vancomicina\u00a0<br>&#8211; Considerar associar beztoloxumabe se paciente de alto risco (segundo epis\u00f3dio de colite ocorre dentro de 6 meses do epis\u00f3dio inicial, >65 anos e\/ou imunossuprimidos)<\/td><\/tr><tr><td><br><br><strong>Colite fulminante<\/strong><\/td><td>&#8211; Vancomicina 500mg VO 6\/6h + Metronidazol 500mg 8\/8h EV podendo associar com Vancomicina retal (500mg em 100ml de solu\u00e7\u00e3o salina retal por 6 horas) se presen\u00e7a de \u00edleo paral\u00edtico<br>&#8211; Considerar a tigeciclina (100mg IV ataque e 50mg 12\/12h)<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>O que temos observado recentemente \u00e9 a incorpora\u00e7\u00e3o da fidaxomicina como primeira linha em casos leves ou graves e o papel do beztoloxumabe (anticorpo monoclonal) na preven\u00e7\u00e3o de recorr\u00eancia. <\/p>\n\n\n\n<p>O <strong><a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/intestino\/transplante-de-microbiota-fecal\/\" target=\"_blank\" rel=\"noreferrer noopener\">transplante de microbiota fecal<\/a><\/strong> desempenha uma importante estrat\u00e9gia na segunda recorr\u00eancia, mas em casos complicados ainda h\u00e1 d\u00favidas.<\/p>\n\n\n\n<p>Atualmente ainda n\u00e3o dispomos da fidaxomicina nem do beztoloxumabe no Brasil.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancia bibliogr\u00e1fica<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\">\n<li>J Antimicrob Chemother.&nbsp;2022, Dec 23;78(1):21-30<\/li>\n\n\n\n<li>Clin Microbiol Infect. 2021 Dec;27 Suppl 2:S1-S21<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#d3dde0\">Carlos A. Qual o tratamento atual da colite por Clostridioide difficile em adultos? Gastropedia vol. 1, 2023. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=5034\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/sem-categoria\/strongqual-o-tratamento-atual-da-colite-por-emclostridioide-difficile-em-em-adultos<\/a>\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A infec\u00e7\u00e3o pelo Clostridioide difficile (antigo Clostridium difficile)&nbsp;\u00e9 uma importante causa de diarreia associada ao uso de antibi\u00f3ticos. Praticamente qualquer antibi\u00f3tico pode provocar esse dist\u00farbio, mas a clindamicina, as penicilinas&hellip;<\/p>\n","protected":false},"author":152,"featured_media":5113,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,22],"tags":[],"ano":[137],"tipo":[121],"volume":[57],"class_list":["post-5034","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-intestino","ano-137","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Qual o tratamento atual da colite por Clostridioide difficile em adultos? - Gastropedia<\/title>\n<meta name=\"description\" content=\"O tratamento da colite pelo Clostridioide difficile ainda \u00e9 um desafio na pr\u00e1tica cl\u00ednica. 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