This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$32.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 digital issues and online access to articles
$119.00 per year
only $9.92 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Srikhanta, Y. N. et al. Cephamycins inhibit pathogen sporulation and effectively treat recurrent Clostridioides difficile infection. Nat. Microbiol. 4, 2237–2245 (2019).
Carignan, A. et al. Risk of Clostridium difficile infection after perioperative antibacterial prophylaxis before and during an outbreak of infection due to a hypervirulent strain. Clin. Infect. Dis. 46, 1838–1843 (2008).
Block, B. S. et al. Clostridium difficile-associated diarrhea follows perioperative prophylaxis with cefoxitin. Am. J. Obstet. Gynecol. 153, 835–838 (1985).
Kent, K. C. et al. The impact of Clostridium difficile on a surgical service: a prospective study of 374 patients. Ann. Surg. 227, 296–301 (1998).
Crabtree, T. D. et al. Clinical characteristics and antibiotic utilization in surgical patients with Clostridium difficile-associated diarrhea. Am. Surgeon 65, 507–511 (1999).
Turner, M. C. et al. Multidisciplinary approach to Clostridium difficile infection in adult surgical patients. J. Am. Coll. Surgeons 228, 570–580 (2019).
Stiefel, U. et al. Effect of the increasing use of piperacillin/tazobactam on the incidence of vancomycin-resistant enterococci in four academic medical centers. Infect. Cont. Hosp. Epidemiol. 25, 373–379 (2004).
Barza, M. et al. Effect of broad-spectrum parenteral antibiotics on “colonization resistance” of intestinal microflora of humans. Antimicrob. Agents Chemother. 31, 723–727 (1987).
Giuliano, M. et al. Effect of broad-spectrum parenteral antibiotics on composition of intestinal microflora of humans. Antimicrob. Agents Chemother. 31, 202–206 (1987).
Nerandzic, M. M. & Donskey, C. J. Effect of ceftobiprole treatment on growth of and toxin production by Clostridium difficile in cecal contents of mice. Antimicrob. Agents Chemother. 55, 2174–2177 (2011).
Rice, L. B. et al. β-lactam antibiotics and gastrointestinal colonization with vancomycin-resistant enterococci. J. Infect. Dis. 189, 1113–1118 (2004).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
M.H.W. has received research funding and/or consultancy funding from several companies developing CDI treatment/prevention therapeutics, including Astellas, Da Volterra, Merck, Pfizer, Sanofi-Pasteur, Seres, Summit, Synthetic Biologics, Valneva and Vaxxilon.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Wilcox, M.H. Caution is warranted in using cephamycin antibiotics against recurrent Clostridioides difficile infection. Nat Microbiol 5, 236 (2020). https://doi.org/10.1038/s41564-019-0661-9
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/s41564-019-0661-9