Review Article

Clostridioides difficile Infection in Patients with Chronic Kidney Disease: A Systematic Review

Table 2

Study characteristics.

AuthorYearOriginPopulationStudy typeStudy periodTotal patientsN=CKDInterventionCured patientsRecurrenceOutcome measures

Mullane2013Department of Medicine, University of Chicago, ChicagoRenal impairment and CDIRandomized controlled trials20121054321Fidaxomycin 158
Vancomycin 163
252
(78.5%)
66
26%
(i) Clinical cure
(ii) Sustained response
(iii) Recurrence
(iv) Mortality
Lachowicz2014Department of Medical Microbiology, Medical University of WarsawDialysis patientsRetrospective non-RCT (observational study)November 2012–December 201299Environmental decontamination (chlorine bleach, indomethacin, octenisept, and hydrogen peroxide vapour)
Isolation
43(i) Spread of infection
(ii) Microbiological analysis
(iii) Mortality
Kujawa2015Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia in KatowiceKidney transplant and immunosuppressive therapyRetrospective non-RCT (observational study)October 2012–October 2013 and December 2013–December 20142317Lactobacillus
Plantarum 299v
N/AN/A(i) C. difficile infection incidence
(ii) Mortality
(iii) Severity of CDI
(iv) Duration of diarrhea
(v) Number of stools per day
(vi) Average CRP serum concentration
Cammarota [31]2015Department of Internal Medicine, a.Gemelli University Hospital Roma, ItalyRecurrent C. difficile patientsRandomized controlled trialJuly 2013-June 20143920Faecal microbiota transplantation by colonoscopy
Vancomycin
18
(90%)
2
(10%)
(i) Recurrence rate of C. difficile infection with FMT and vancomycin