scholarly journals Clostridium difficile-associated diarrhea in the Clinical Center of Vojvodina, Serbia, in the period 2008 to 2012

2014 ◽  
Vol 66 (1) ◽  
pp. 57-64
Author(s):  
Sandra Stefan-Mikic ◽  
Vedrana Petric ◽  
S. Sevic ◽  
Ivana Hrnjakovic-Cvjetkovic ◽  
Vesna Milosevic ◽  
...  

Clostridium difficile-associated diarrhea (CDAD) has been recognized as the leading cause of diarrhea worldwide. In the last five years, it has become the leading cause of diarrhea in the Clinical Center of Vojvodina (CCV) as well. The aim of this study was to determine the epidemiology and total cost of treatment for all patients with Clostridium difficile-associated diarrhea hospitalized at the Infectious Disease Clinic of the CCV; to analyze the costs of treatment with regard to therapeutic approach; to compare the costs of treatment in each year of the investigated period related to the number of patients, and to analyze the outcome of treatment. The study was retrospective, and the data were collected from the medical records of 472 patients with Clostridium difficile diarrhea treated from 2008 to 2012 and analyzed. Of the total 472 patients with CDAD, 54.23% were female and the average age was 65.84. A statistically significant majority of them had been previously treated in other hospitals and a minority in ambulatory settings (395 inpatients vs. 77 outpatients, p=0.000, p<0.05). Of the 395 previously hospitalized patients, most were from the Clinic of Urology of the CCV (58, 14.68%). When comparing therapeutic options, oral vancomycin was significantly more frequently used than other protocols. The average mortality rate during the study period was 6.51%. In this period, total hospital costs related to Clostridium difficile diarrhea in the Infectious Disease Clinic were $636,679.92. Implementation of infection-control measures and a restricted use of antibiotics would result in a great reduction in material costs.

2014 ◽  
Vol 66 (3) ◽  
pp. e67-e70 ◽  
Author(s):  
Brooke E. Hoots ◽  
Pamela W. Klein ◽  
Ian B.K. Martin ◽  
Peter A. Leone ◽  
E. Byrd Quinlivan ◽  
...  

2021 ◽  
Vol 15 (1) ◽  
pp. 26-32
Author(s):  
Ayşe Kaman ◽  
Türkan Aydın Teke ◽  
Fatma Nur Öz ◽  
Sevgi Yaşar Durmuş ◽  
Rumeysa Yalçınkaya ◽  
...  

2020 ◽  
Vol 23 (4) ◽  
pp. 266-271
Author(s):  
Lucian Giubelan ◽  
◽  
Livia Dragonu ◽  
Andreea Cristina Stoian ◽  
Florentina Dumitrescu ◽  
...  

2021 ◽  
Vol 2 (3) ◽  
pp. 213-219
Author(s):  
Vesna Mioljević ◽  
Marko Ercegovac ◽  
Pavle Gregorić ◽  
Dušan Jovanović ◽  
Goran Tulić ◽  
...  

In less than a year, humanity has managed to start a long and difficult battle against a virus, with a powerful weapon - the vaccine. In addition to vaccination, which is undoubtedly the most important measure in preventing COVID-19, our responsible behavior (wearing masks, hand hygiene, observing physical distance), especially in this period of an increase in the number of patients and the emergence of new strains, also remains an important measure in preventing and controlling the spread of COVID-19. In this paper, an overview of professional recommendations and instructions for the epidemiological surveillance of health care institutions is given. The study objective is to present the manner of organizing the epidemiological surveillance of the Epidemiology Department of the University Clinical Center of Serbia (UCCS) at the Emergency Center of the UCCS (EC-UCCS) as well as the application of measures to prevent and control COVID-19. To this end the method of the triage of patients with suspected COVID-19 in the Emergency Center of the UCCS has been shown. The Guidelines for the Rational Use of Personal Protective Equipment in Healthcare Facilities Depending on the Activities Performed, as well as the Recommendations of the Centers for Disease Prevention and Control (Atlanta, USA) have been presented. The Algorithm for the Procedures with Patients with Suspected and Proven COVID-19 Infection for Patients of the EC-UCCS has been formed. This Algorithm has been in use since March 1, 2020, in the EC-UCCS Admissions Service Triage Facility. In addition to this Algorithm, the screening of medical staff for SARS-CoV-2 has been performed by sampling nasopharyngeal and throat swabs (for PCR analysis and antigen tests) and blood (for serological analyses).


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