scholarly journals Authors response (January 23, 2020) to the letter to the Editor concerning the paper “The role of hospital environment and the hands of medical staff in the transmission of the Clostridioides (Clostridium) difficile infection”

2020 ◽  
Author(s):  
Monika Kabała ◽  
Małgorzata Aptekorz ◽  
Gajane Martirosian
Keyword(s):  
Clostridium Difficile ◽  
Medical Staff ◽  
Hospital Environment ◽  
Letter To The Editor

scholarly journals Physicians` awareness level assessment of the epidemiology and diagnosis features of nosocomial infection caused by Clostridium difficile in a multidisciplinary hospitals

2021 ◽  
Author(s):  
Alla Lokotkova
Keyword(s):  
Clostridium Difficile ◽  
Clostridium Difficile Infection ◽  
Clinical Manifestations ◽  
Low Frequency ◽  
Antibiotic Use ◽  
Hospital Environment ◽  
Laboratory Diagnostics ◽  
Important Place ◽  
Lack Of Physicians

Background. Clostridium difficile has an important place among healthcare associated infections pathogens , mainly due to the widespread and inappropriate antibiotics use. Over the past 10 years an incidence of this infection has increased in the USA and European countries. Unfortunately, Clostridium difficile infection cases in the Russian Federation are almost not register, probably due to the lack of physicians awareness and underestimation of the pathogen role in the etiology of nosocomial infections. The study purpose is to study the different specialties physicians awareness of patients` Clostridium difficile infections development in multidisciplinary hospitals. Materials and methods. A questionnaire survey of 115 physicians of two multidisciplinary hospitals in Kazan was carried out. The questionnaire included 15 questions related to etiology, transmission mechanism, risk factors, clinical presentation, diagnosis and prevention of C. difficile infection. Statistical data processing was carried out in MS Excel. Results. A low level of physicians` awareness on this issue was revealed. 92.2% of physicians did not have any Clostridium difficile infection cases in their practice. 31.3% of respondents underestimate the role of antibiotic use as the main risk factor for the development of the disease; at the same time, there are frequent cases of unreasonable prescription of antibiotics. 32.2% of the respondents are poorly informed about diagnosis methods of clostridiosis. 20% of physicians deny the role of bacteria carriers as a source of infection. 77.4% of respondents indicated the alimentary route as the main route of infection transmission. Only 38.2% of respondents noted the hospital environment objects as a possible factor in the transmission of Clostridium difficile. Conclusions. There is no alertness regarding antibiotic-associated diarrhea caused by Clostridium difficile infection among multidisciplinary hospital physicians. Insufficient knowledge of epidemiology, clinical manifestations, laboratory diagnostics of Clostridium difficile infection are factors that determine the low frequency of its detection and, accordingly, impede the implementation of required anti-epidemic measures. There is a need to include Clostridium difficile infection issues in professional development programs for medical workers. It is advisable to develop and implement Clostridium difficile infection control.

scholarly journals UnderstandingClostridium difficileColonization

2018 ◽  
Vol 31 (2) ◽  
Author(s):  
Monique J. T. Crobach ◽  
Jonathan J. Vernon ◽  
Vivian G. Loo ◽  
Ling Yuan Kong ◽  
Séverine Péchiné ◽  
...  
Keyword(s):  
Health Care ◽  
Clostridium Difficile ◽  
Hospital Environment ◽  
Clinical Implications ◽  
Comprehensive Overview ◽  
Content Type ◽  
Risk Of Progression ◽  
Alternative Sources ◽  
Associated Risk Factors

SUMMARYClostridium difficileis the main causative agent of antibiotic-associated and health care-associated infective diarrhea. Recently, there has been growing interest in alternative sources ofC. difficileother than patients withClostridium difficileinfection (CDI) and the hospital environment. Notably, the role ofC. difficile-colonized patients as a possible source of transmission has received attention. In this review, we present a comprehensive overview of the current understanding ofC. difficilecolonization. Findings from gut microbiota studies yield more insights into determinants that are important for acquiring or resisting colonization and progression to CDI. In discussions on the prevalence ofC. difficilecolonization among populations and its associated risk factors, colonized patients at hospital admission merit more attention, as findings from the literature have pointed to their role in both health care-associated transmission ofC. difficileand a higher risk of progression to CDI once admitted.C. difficilecolonization among patients at admission may have clinical implications, although further research is needed to identify if interventions are beneficial for preventing transmission or overcoming progression to CDI.

Response to Letter to the Editor: Nuancing the role of transorbital endoscopic approaches in skull base surgery

2021 ◽  
Author(s):  
Alperen Vural ◽  
Andrea Luigi Camillo Carobbio ◽  
Marco Ferrari ◽  
Vittorio Rampinelli ◽  
Alberto Schreiber ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Letter To The Editor

The Role of Social Support in Concussion Disclosure in United States Air Force Academy Cadets: A Mixed Methods Approach

2021 ◽  
Author(s):  
Michelle L Weber Rawlins ◽  
Brian R Johnson ◽  
Emily R Jones ◽  
Johna K Register-Mihalik ◽  
Craig Foster ◽  
...  
Keyword(s):  
United States ◽  
Social Support ◽  
Mixed Methods ◽  
Air Force ◽  
Medical Staff ◽  
United States Air Force ◽  
Medical Attention ◽  
Air Force Academy ◽  
Mixed Methods Approach

ABSTRACT Introduction United States Air Force Academy (USAFA) cadets are at risk for sustaining concussions; however, several factors inhibit disclosure. We aimed to better understand the role of social support in concussion disclosure. Methods and Materials We used a mixed methods approach with an electronic survey and interviews. The survey used a 9-point Likert scale (1 = strongly disagree and 9 = strongly agree) to assess concussion disclosure. Survey items asked cadets whom they felt most comfortable disclosing a concussion or bell-ringer/ding to, how quickly they would seek medical attention for a suspected concussion or bell-ringer/ding, whether cadets would be generally supportive/unsupportive of another cadet disclosing a concussion to medical staff, and whether other cadets important to them would be generally supportive/unsupportive if they reported a concussion to medical staff. Two multivariate linear regressions, one for concussion and one for bell-ringers/dings, were calculated to determine whether cadet choice of the person they felt most comfortable disclosing a concussion or bell-ringer/ding to predicted whether they would immediately seek medical attention for either condition. Choice of person included Air Officer Commanding (AOC)/Academy Military Trainer (AMT), upper classmen, cadet who had recovered from a concussion, cadet, closest friend, teammate, and squadmate. Descriptive analyses assessed whether cadets felt supported or unsupported by other cadets and by those who were important to them concerning concussion reporting. Thirty-four semi-structured interviews were conducted with cadets to explore their views on concussion disclosure. Results Increased comfort with disclosing a suspected concussion to an AOC/AMT had higher agreement seeking medical attention (β = 0.28, P < .001). For every 1-point increase in being comfortable disclosing a potential bell-ringer/ding to an AOC/AMT (β = 0.272, P < .001), squadmate (β = 0.241, P = .002), and teammate (β = −0.182, P = .035), agreement for seeking medical attention immediately increased 0.27, increased 0.24, and decreased 0.18, respectively. Interviews indicated cadets would often speak to a peer before seeking medical attention. Conclusions Our results suggested that cadets felt comfortable reporting a suspected concussion or bell-ringer/ding to various peers and that those peers would be supportive of that choice, indicating social support. Future interventions should include educating cadets that peers may come to them, especially if they are AOCs/AMTs or squadmates.

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