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Epidemiology and outcome of Clostridium difficile infections in patients hospitalized in Internal Medicine: findings from the nationwide FADOI-PRACTICE study
- Source :
- BMC Infectious Diseases, Vol 16, Iss 1, Pp 1-9 (2016), BMC Infectious Diseases
- Publisher :
- Springer Nature
-
Abstract
- Background Clostridium difficile (CD) is a leading cause of diarrhoea among hospitalized patients. The objective of this study was to evaluate the rate, the optimal diagnostic work-up, and outcome of CD infections (CDI) in Internal Medicine (IM) wards in Italy. Methods PRACTICE is an observational prospective study, involving 40 IM Units and evaluating all consecutive patients hospitalized during a 4-month period. CDI were defined in case of diarrhoea when both enzyme immunoassay for GDH, and test for A/B toxin were positive. Patients with CDI were followed-up for recurrences for 4 weeks after the end of therapy. Results Among the 10,780 patients observed, 103 (0.96 %) showed CDI, at admission or during hospitalization. A positive history for CD, antibiotics in the previous 4 weeks, recent hospitalization, female gender and age were significantly associated with CDI (multivariable analysis). In-hospital mortality was 16.5 % in CD group vs 6.7 % in No-CD group (p
- Subjects :
- Diarrhea
Male
medicine.medical_specialty
genetic structures
medicine.drug_class
Antibiotics
Real-Time Polymerase Chain Reaction
lcsh:Infectious and parasitic diseases
Immunoenzyme Techniques
03 medical and health sciences
0302 clinical medicine
Medical microbiology
Clostridium difficile
Incidence
Internal Medicine
Outcome
Predictors
Aged
Aged, 80 and over
Anti-Bacterial Agents
Clostridium Infections
Female
Hospital Mortality
Humans
Italy
Length of Stay
Middle Aged
Prospective Studies
Infectious Diseases
Internal medicine
Epidemiology
medicine
80 and over
lcsh:RC109-216
030212 general & internal medicine
Prospective cohort study
Clostridioides difficile
business.industry
Incidence (epidemiology)
clostridium difficile
incidence
internal medicine
outcome
predictors
aged
aged, 80 and over
anti-bacterial agents
clostridioides difficile
clostridium infections
diarrhea
female
hospital mortality
humans
immunoenzyme techniques
length of stay
male
middle aged
prospective studies
real-time polymerase chain reaction
Tropical medicine
clostridium difficile GDH EPIDEMIOLOGY
030211 gastroenterology & hepatology
medicine.symptom
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712334
- Volume :
- 16
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Infectious Diseases
- Accession number :
- edsair.doi.dedup.....6d734cc2e9167cfc367fd784ccbb860e
- Full Text :
- https://doi.org/10.1186/s12879-016-1961-9