Increasing rates of Clostridium difficile infection in Mexican hospitals

Dávila, Laura Palau y Garza González, Elvira y Rodríguez Zulueta, Patricia y Morfín Otero, Rayo y Rodríguez Noriega, Eduardo y Vilar Compte, Diana y Rodríguez Aldama, Juan C. y Camacho Ortiz, Adrián (2017) Increasing rates of Clostridium difficile infection in Mexican hospitals. The Brazilian Journal of Infectious Diseases, 21 (5). pp. 530-534. ISSN 14138670

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Resumen

Introduction: The epidemiology of Clostridium difficile infection (CDI) has changed in the last two decades. There is a lack of information regarding incidence and severity of CDI, especially in the developing world. Methods: This was a retrospective and observational study from four hospitals of three Mexican cities. Patients were diagnosed with CDI when presented with loose stools and had at least one of the following tests positive: toxins assay, real-time PCR, or an endoscopic image compatible with pseudomembranous colitis. CDI was classified according to international guidelines. Demographic and clinical data as well as information regarding total hospital admissions, total length-of-hospital stay, and other variables related to hospitalization were gathered from the epidemiology and administration departments of each hospital. Results: A total of 2050 hospital beds were analyzed with 288,171 patients hospitalized accumulating 1,576,446 days of hospitalization during the study period. The average rate of CDI per 1000 hospital-days was lower than the rates reported in the US and Europe, although in 2015 CDI rates were almost persistently above the mean rate for the study period. More than half of PCR positive patients were ribotype 027. Conclusion: Hospital rates of CDI are increasing in Mexican hospitals with a predominance of infections caused by ribotype 027.

Tipo de elemento: Article
Palabras claves no controlados: Clostridium difficile, Hospital acquired infections, Hospital diarrhea, Infection rates
Materias: R Medicina > R Medicina en General
R Medicina > RC Medicina Interna, Psiquiatría, Neurología
Divisiones: Medicina
Usuario depositante: Editor Repositorio
Creadores:
CreadorEmailORCID
Dávila, Laura PalauNO ESPECIFICADONO ESPECIFICADO
Garza González, ElviraNO ESPECIFICADONO ESPECIFICADO
Rodríguez Zulueta, PatriciaNO ESPECIFICADONO ESPECIFICADO
Morfín Otero, RayoNO ESPECIFICADONO ESPECIFICADO
Rodríguez Noriega, EduardoNO ESPECIFICADONO ESPECIFICADO
Vilar Compte, DianaNO ESPECIFICADONO ESPECIFICADO
Rodríguez Aldama, Juan C.NO ESPECIFICADONO ESPECIFICADO
Camacho Ortiz, AdriánNO ESPECIFICADONO ESPECIFICADO
Fecha del depósito: 21 Mayo 2020 12:44
Última modificación: 21 Mayo 2020 12:44
URI: http://eprints.uanl.mx/id/eprint/14514

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