title: Is tigecycline a suitable option for Clostridium difficile infection? Evidence from the literature.
abstract: Clostridium difficile infection (CDI) has become the most frequent cause of nosocomial infectious diarrhoea in developed countries, causing an increase in mortality, recurrences or treatment failure. In the search for new and more effective drugs, researchers recently turned their attention to tigecycline, a broad-spectrum antibiotic of the glycylglycine class available as an intravenous formulation for human use, which has also shown in vitro activity against C. difficile. We performed a literature review of articles addressing in vitro as well as in vivo studies and case reports on the effectiveness of tigecycline, whose use is promising especially in light of its high faecal excretion. The available evidence suggests that tigecycline could play a role as an alternative therapeutic option for critically ill patients or cases of refractory CDI.
authors.affiliation: 2nd Infectious Disease Division, National Institute for Infectious Diseases 'L. Spallanzani', Via Portuense 292, 00149 Rome, Italy. Electronic address: stefano932@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Di Bella
authors.affiliation: Laboratory of Microbiology, National Institute for Infectious Diseases 'L. Spallanzani', Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Nisii
authors.affiliation: 2nd Infectious Disease Division, National Institute for Infectious Diseases 'L. Spallanzani', Via Portuense 292, 00149 Rome, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Petrosillo
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use*; D016360:Clostridioides difficile / Q000187:drug effects*; D003015:Clostridium Infections / Q000188:drug therapy* / Q000382:microbiology; D003967:Diarrhea / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D008911:Minocycline / Q000031:analogs & derivatives* / Q000494:pharmacology / Q000627:therapeutic use; D000078304:Tigecycline; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000078304:Tigecycline; D008911:Minocycline
keywords: CDI; Clostridium; Clostridium difficile; Clostridium difficile infection; Tigecycline