scholarly journals Risk Factors Associated With Clostridium difficile-Associated Diarrhea

Cureus ◽  
2021 ◽  
Author(s):  
Aarzoo Gupta ◽  
FNU Savanti ◽  
Balvender Singh ◽  
Priyanka Sachdev ◽  
Deepak Raj ◽  
...  
2014 ◽  
Vol 56 (4) ◽  
pp. 325-331 ◽  
Author(s):  
Fernanda Spadão ◽  
Juliana Gerhardt ◽  
Thais Guimarães ◽  
Frederico Dulley ◽  
João Nóbrega de Almeida Junior ◽  
...  

We describe the rate of incidence of Clostridium difficile-associated diarrhea (CDAD) in hematologic and patients undergone stem cell transplant (HSCT) at HC-FMUSP, from January 2007 to June 2011, using two denominators 1,000 patient and 1,000 days of neutropenia and the risk factors associated with the severe form of the disease and death. The ELISA method (Ridascreen-Biopharm, Germany) for the detections of toxins A/B was used to identify C. difficile. A multivariate analysis was performed to evaluate potential factors associated with severe CDAD and death within 14 days after the diagnosis of CDAD, using multiple logistic regression. Sixty-six episodes were identified in 64 patients among 439 patients with diarrhea during the study period. CDA rate of incidence varied from 0.78 to 5.45 per 1,000 days of neutropenia and from 0.65 to 5.45 per 1,000 patient-days. The most common underlying disease was acute myeloid leukemia 30/64 (44%), 32/64 (46%) patients were neutropenic, 31/64 (45%) undergone allogeneic HSCT, 61/64 (88%) had previously used antibiotics and 9/64 (13%) have severe CDAD. Most of the patients (89%) received treatment with oral metronidazole and 19/64 (26%) died. The independent risk factors associated with death were the severe form of CDAD, and use of linezolid.


2002 ◽  
Vol 34 (8) ◽  
pp. 594-597 ◽  
Author(s):  
Sari Tal ◽  
Alexander Gurevich ◽  
Vladimir Guller ◽  
Irina Gurevich ◽  
David Berger ◽  
...  

2010 ◽  
Vol 138 (5) ◽  
pp. S-209
Author(s):  
Nabeel Koro ◽  
Yazan Abdalla ◽  
Fasiha Kanwal ◽  
Jay R. McDonald ◽  
Angelique L. Zeringue ◽  
...  

2019 ◽  
Vol 30 (1) ◽  
pp. 22-32
Author(s):  
Azeem Tariq Malik ◽  
Carmen E Quatman ◽  
Laura S Phieffer ◽  
Thuan V Ly ◽  
Safdar N Khan

Background: We compiled evidence from a large national surgical database to identify the incidence, risk factors and postoperative impact of Clostridium difficile infection (CDI) in patients undergoing hip fracture repair. Methods: We identified 17,474 patients who underwent hip fracture repairs in 2015 using the ACS-NSQIP database. Interventions studied were open reduction/Internal fixation, total hip arthroplasty or hemiarthroplasty being performed for traumatic hip fractures. Outcomes studied were incidence, preoperative and postoperative risk factors for occurrence of CDI were studied using descriptive and statistical analysis. Results: A total of 92 patients (0.53%) developed CDI within 30 days of the operation. Following adjustment using multi-variate logistic regression, preoperative and hospital-associated factors associated with development of CDI were smoking (OR 1.75 [95% CI 1.03–2.99]), hypertension (OR 1.70 [95% CI 1.01–2.85]), hyponatraemia (OR 1.65 [95% CI 1.04–2.63]), prior systemic inflammatory response syndrome (SIRS) (OR 2.18 [95% CI 1.32-3.59]) and a length of stay >7 days (OR 1.98 [95% CI 1.11–3.53]. Postoperative factors associated with occurrence of CDI were occurrence of a deep surgical site infection (SSI) (OR 5.89 [95% CI 1.31–26.6]), a stay in the hospital >30 days (OR 6.56 [95% CI 2.56–16.9]) and unplanned reoperations (OR 2.78 [95% CI 1.29–5.99]). Conclusion: As we move toward an era of bundled-payment models, identification of risk factors associated with the occurrence of postoperative complications, such as CDI, will help curb excess healthcare utilisation and costs associated with the management of this complication.


2010 ◽  
Vol 251 (4) ◽  
pp. 722-727 ◽  
Author(s):  
Rosemarie Metzger ◽  
Brian R. Swenson ◽  
Hugo Bonatti ◽  
Traci L. Hedrick ◽  
Tjasa Hranjec ◽  
...  

1997 ◽  
Vol 18 (9) ◽  
pp. 628-632 ◽  
Author(s):  
Kwan Kew Lai ◽  
Zita S. Melvin ◽  
Mary Jane Menard ◽  
Helen R. Kotilainen ◽  
Stephen Baker

2019 ◽  
Vol 11 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Nikhita Dharbhamulla ◽  
Ahmed Abdelhady ◽  
Mona Domadia ◽  
Sanket Patel ◽  
John Gaughan ◽  
...  

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