scholarly journals Asymptomatic Clostridium difficile colonization in two Australian tertiary hospitals, 2012–2014: prospective, repeated cross-sectional study

2017 ◽  
Vol 23 (1) ◽  
pp. 48.e1-48.e7 ◽  
Author(s):  
L. Furuya-Kanamori ◽  
A.C.A. Clements ◽  
N.F. Foster ◽  
C.A. Huber ◽  
S. Hong ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Hospitals

scholarly journals Cross-Sectional Study Reveals High Prevalence of Clostridium difficile Non-PCR Ribotype 078 Strains in Australian Veal Calves at Slaughter

2013 ◽  
Vol 79 (8) ◽  
pp. 2630-2635 ◽  
Author(s):  
Daniel R. Knight ◽  
Sara Thean ◽  
Papanin Putsathit ◽  
Stan Fenwick ◽  
Thomas V. Riley
Keyword(s):  
Clostridium Difficile ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adult Cattle ◽  
Content Type ◽  
Retail Meats ◽  
High Prevalence ◽  
Pcr Ribotyping ◽  
Ribotype 078

ABSTRACTRecent reports in North America and Europe ofClostridium difficilebeing isolated from livestock and retail meats of bovine origin have raised concerns about the risk to public health. To assess the situation in Australia, we investigated the prevalence and genetic diversity ofC. difficilein adult cattle and calves at slaughter. Carcass washings, gastrointestinal contents, and feces were collected from abattoirs across five Australian states. Selective culture, toxin profiling, and PCR ribotyping were performed. The prevalence ofC. difficilewas 56% (203/360 samples) in feces from <7-day-old calves, 3.8% (1/26) in 2- to 6-month-old calves, and 1.8% (5/280) in adult cattle. Three PCR ribotypes (RTs), RT127, RT033, and RT126, predominated in <7-day-old calves and comprised 77.8% (158/203 samples) of isolates. RT056, which has not been reported in cattle before, was found in 16 <7-day-old calves (7.7%). Surprisingly, RT078 strains, which dominate production animal carriage studies in the Northern Hemisphere, were not isolated.

scholarly journals Prevalensi Infeksi Clostridium difficile Pada Pasien Neutropenia dengan Kanker

Medicinus ◽  
2018 ◽  
Vol 5 (2) ◽  
Author(s):  
Andree Kurniawan
Keyword(s):  
Risk Factors ◽  
Clostridium Difficile ◽  
Cancer Patients ◽  
Immunocompromised Patient ◽  
Hematologic Malignancy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Risk Factors ◽  
Secondary Referral Hospital

<p><em>Clostridium difficile</em> (<em>C. difficile</em>) infection mostly found in immunocompromised patient. Most of the patients with neutropenia had hematologic malignancy and come with multiple risk factors for <em>C. difficile</em> infection. The aim of this study is to know the prevalence and characteristic of <em>C. difficile</em> infections in cancer neutropenia patients. This cross-sectional study was done in secondary referral hospital in suburban Karawaci, Tangerang, Banten, Indonesia from June 2014 until Mei 2015. Adult cancer patients hospitalized with neutrophil count less than 1500 10<sup>6</sup> cell/L were included. All patients were checked for antigen and toxin <em>C. difficile</em> in faeces. From 25 patients were evaluated for <em>C. difficile</em> infection in neutropenia. <em>C. difficile</em> antigen only found in one patient or 4% sample.</p><p><strong>Key words: <em>C. difficile</em>, cancer, neutropenia</strong></p>

scholarly journals The Effect of Migration Duration on Treatment Delay Among Rural-to-Urban Migrants After the Integration of Urban and Rural Health Insurance in China: A Cross-Sectional Study

2020 ◽  
Vol 57 ◽  
pp. 004695802091928
Author(s):  
Li Niu ◽  
Yan Liu ◽  
Xin Wang ◽  
Hui Li ◽  
Junbo Chen ◽  
...  
Keyword(s):  
Health Expenditure ◽  
Treatment Delay ◽  
Cross Sectional Study ◽  
Multiple Logistic Regression ◽  
Sectional Study ◽  
Vulnerable Group ◽  
Cross Sectional ◽  
Urban Migrants ◽  
Tertiary Hospitals ◽  
And Migration

Few researches have been focused on the treatment delay of rural-to-urban migrants in China. Our study aimed to investigate the effect of migration duration on treatment delay among rural-to-urban migrants in tertiary hospitals. A cross-sectional study was conducted based on a sample of 727 patients and surveyed factors including sociodemographics, medical costs, migration, treatment delay, and health cost-coping strategies. Totally, 727 patients were included, of which 61 delayed their treatment and 666 had no treatment delay. Statistically significant differences were found between different migration duration groups in marital status, education, insurance, family annual income, residency, payment before treatment, reported disease, and migration duration ( P < .05). The results from multiple logistic regression showed that migration between 1 and 5 years (adjusted odds ratio [OR] = 7.24; 95% confidence interval [CI] = 1.59-32.87; P < .05) was considered the significant contributing risk factor for treatment delay after adjusting for age, sex, and other variables. To cope with their health expenditure, patients with treatment delay tended to use less savings and borrow more money than those without. Rural-to-urban migrants with 1 to 5 years of migration were the most vulnerable group of having treatment delay. Migrants were more likely to borrow money to cope with the health expenditure. Targeted services should be provided to meet different needs of migrants according to migration duration.

Characteristics and predictors of burnout among healthcare professionals: a cross-sectional study in two tertiary hospitals

2020 ◽  
pp. postgradmedj-2020-137547
Author(s):  
Ayman El-Menyar ◽  
Wanis H Ibrahim ◽  
Walid El Ansari ◽  
Mohamed Gomaa ◽  
Brijesh Sathian ◽  
...  
Keyword(s):  
Health Professionals ◽  
Medical Staff ◽  
Healthcare Providers ◽  
Trauma Surgery ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Hospitals

BackgroundThe pattern and impact of burnout among the medical staff are not yet well defined. However, the consequences of burnout are not limited to the healthcare providers but also may affect their family, colleagues and patients in a negative manner. We aimed to assess the characteristics and predictors of burnout among health professionals at two large tertiary hospitals.MethodsWe conducted a cross-sectional study during the period from July 2018 to 31 December 2018. Data, via Maslach Burnout Inventory survey, were collected from physicians and other healthcare workers in two hospitals.ResultsA total of 624 responses to questionnaires were analysed. Half of the respondents were physicians, and men constituted the majority. About 10% (95% CI, 7.8 to 12.5) of the respondents satisfied the criteria of burnout. Emotional exhaustion (EE) was observed in 45.7%, depersonalisation (DP) in 26.9% and personal accomplishment (PA) in 41.2% of the respondents. There was a positive correlation between EE and DP (r=0.627, p=0.001), and a weak negative correlation between DP and PA (r=−0.195, p=0.001). Young age, less experience, trauma surgery, lack of habits and getting depressed ≥1 time/week were predictors of burnout.ConclusionsBurnout affects one-tenth of the health professionals in the tertiary hospitals in Qatar. Physicians are more likely to have higher DP and lower PA, whereas nurses prone to have higher EE. In this study, no gender discrepancy is appreciated and the junior medical staff is at a higher risk of burnout.

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