Corelations Between the Use of Medical Substances and the Incidence Infections Produced by Clostridium Difficile Species

2018 ◽  
Vol 69 (11) ◽  
pp. 3001-3005 ◽  
Author(s):  
Monica Marilena Tantu ◽  
George Mihail Man ◽  
Alina Paunescu ◽  
Cristina Florentina Plesa ◽  
Roxana Maria Nemes ◽  
...  

Antibiotherapy is the main determinant of Clostridium difficile infection due to the imbalance determined in the intestinal flora. Clostridium difficile infection can be considered a current public health problem, given the increased incidence, both as a nosocomial infection as well as at community level, by excessive, uncontrolled and unjustified use of antibiotics, high contagiousness, negative influence on health systems in the increased number of days of hospitalization and implicitly increased costs, and last but not least, the substantial deterioration of the quality of the patient�s life. The retrospective study over a 12-month period over a group of 106 patients revealed the following profile of the patient affected by Clostridium difficile infection: females, aged 66.75 � 15.66, from the urban area, hospitalized in the medical section, who had diarrhea more than 2 days after admission, but up to 28 days after this event, due to prolonged antibiotic therapy with ceftriaxone, associated with a gastric secretion inhibitor, on a background of multiple associated pathologies. It is very important for all health systems to control this phenomenon and this is only possible by applying effective measures to prevent the onset of CDI, of relapses and contamination, thus identifying the judicious use of antibiotics.

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Frédéric Barbut ◽  
Tatiana Galperine ◽  
Philippe Vanhems ◽  
Alban Le Monnier ◽  
Bernard Durand-Gasselin ◽  
...  

2018 ◽  
Vol 63 (11) ◽  
pp. 2864-2873 ◽  
Author(s):  
Kirstin Heinrich ◽  
James Harnett ◽  
Jeffrey Vietri ◽  
Richard Chambers ◽  
Holly Yu ◽  
...  

2017 ◽  
Vol 152 (5) ◽  
pp. S1004-S1005 ◽  
Author(s):  
Monika Fischer ◽  
Colleen R. Kelly ◽  
Emmalee L. Phelps ◽  
Elaina Wang ◽  
Brandi Roach ◽  
...  

2017 ◽  
Vol 72 (9) ◽  
pp. 2647-2656 ◽  
Author(s):  
Mark H. Wilcox ◽  
Harblas Ahir ◽  
John E. Coia ◽  
Andrew Dodgson ◽  
Susan Hopkins ◽  
...  

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S393-S394
Author(s):  
Frederic Barbut ◽  
Tatiana Galperine ◽  
Philippe Vanhems ◽  
Alban Le Monnier ◽  
Viviane Jeanbat ◽  
...  

Abstract Background Few data are available on the impact of episodes of Clostridium difficile infection (CDI) on quality of life. The Cdiff32, a new specific health-related quality of life questionnaire recently validated, allows such a measurement (Garey et al. J Clin Gastroenterol 2016 Sep;50(8):631–7). Methods An observational prospective study was performed in 7 French acute-care facilities in 2016. All consecutive patients presenting with a bacteriologically-confirmed CDI during a hospital stay, regardless of reason for hospitalization, were enrolled. Two instruments were presented to patients at 7(±2) days after CDI diagnosis: the Cdiff32 and a generic questionnaire the EQ-5D-3L. The Cdiff32 comprises 32 self-administered questions about the impact of CDI in 3 broad domains (physical, mental and social). The physical domain differentiates general (6 questions) and specific physical complaints (8 questions). The mental domain comprises 14 questions about current and future anxiety. Four questions cover the impact on social relationships. Each item is scored from 0 (worst score) to 100 (best score) and they are aggregated by domain and globally. Clinical variables were collected to characterize the infection severity (ZAR score) and comorbidities. A regression analysis of the Cdiff32 scores with the EQ-5D-3L was performed. Results 80 patients were enrolled and 3 were excluded because of missing data. The median age was 71 years and 45% were males. The global Cdiff32 score was 50.4 (SD: 17.1) with a large variability among patients (min 18.3, max 90.2). The highest impact of CDI was observed on the general physical complaints (41.6), as well as the level of current anxiety (41.6). The score relating to the social relationships was the highest (63.7). The severity of CDI (as defined by the Zar score) and the global Cdiff32 score were correlated essentially through the physical sub-score (P = 0.0154). Patients with recurrences had a lower mental score compared with patients with an initial episode (P = 0.0582). The regression analysis of global Cdiff32 score and EQ-5D-3L utility score showed a positive relationship (R2=0.317). Conclusion The Cdiff32 allowed to estimate the important impact on quality of life of CDI especially on the physical domain. Disclosures All authors: No reported disclosures.


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