Hypothesis: the antibody directed against certain antigens of Clostridium difficile would be predict the Clostridium difficile infection. This study evaluates the weight of immunity by studying patients with Clostridium difficile infection versus controls (each patient is associated with two controls : diarrheal control without Clostridium difficile, and non-diarrheal control with or without Clostridium difficile). Recurrence and the kinetics of immune response following infection Clostridium difficile are studied by following the patients during three months. There are also building biological samples collections clinically documented: sera, stool and strains.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
240
Optional sample collected for the cases and non-diarrheal control at the same time as the serum, to compare the presence of specific salivary Immune globulin type A (IgA) of C. difficile antibodies than in the serum.
Optional sample collected for the cases and non-diarrheal control at the same time as the serum, in order to study cellular immunity and describe the determinants of the development of a protective adaptive response.
CH Annecy Genevois
Annecy, France
Hôpital Jean Verdier
Bondy, France
Hôpital Ambroise Paré
Boulogne-Billancourt, France
Hôpital Côte de Nacre
Caen, France
Hôpital Antoine Béclère
Clamart, France
CHU de Dijon - Hôpital d'Enfants
Dijon, France
Hôpital Raymond Poincaré
Garches, France
CHU de Grenoble
Grenoble, France
CHD Vendée
La Roche-sur-Yon, France
CHRU de Montpellier - Hôpital Arnaud de Villeneuve
Montpellier, France
...and 14 more locations
Serum antibody titers
Consider the differential distribution of serum antibody titers, comparing experimental cases's sera prior episodes of Clostridium difficile infection (J-6) and the hospitalized controls's sera (J0).
Time frame: J-6, J0
Kinetics of antibody
The sera will be included in the analysis of the kinetics appearance of the immune response.
Time frame: J-6, J0, J21, J90 and each recurrence
Clinical evolution
Cases and controls : patients will be followed for 3 months to monitor the clinical evolution (or death) after the of Clostridium difficile infection episode and determine the occurrence of any recurrence up to 3 months after the diagnosis.
Time frame: J90
Antibody titers for each antigen selected
Comparison of antibody titers for each antigen will be selected among different population groups formed : patients with Clostridium difficile infection, asymptomatic carriers patients, non-carriers patients including non-diarrheal and diarrheal (diarrhea due to other causes than Clostridium difficile infection).
Time frame: J0
Risk factors
Matching of controls on sex, type of service, age and length of hospital stay.
Time frame: 3 months
Molecular typing of Clostridium difficile strains
Molecular characterization of strains isolated from patients with Clostridium difficile infection (experimental cases) and recurrence, to confirm microbiologically the notion of recurrence after a previous episode or occurrence of a new episode following infection by a new strain of Clostridium difficile.
Time frame: J0 and each recurrence
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