Nosocomial diarrhea and Clostridium Difficile associated diarrhea in a Turkish University Hospital
Date
2009-06
Authors
Bakker, Dennis
Kuijper, Ed J.
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier France
Abstract
Background. - Clostridium difficile (C. difficile) is a well-established cause of nosocomial diarrhea. The aim of our study was to define the incidence of nosocomial diarrhea in our hospital and to determine the role of C. difficile. Additionally, the risk factors for nosocomial diarrhea and Clostridium difficile associated diarrhea (CDAD) were investigated.
Methods. - We included all patients, 18 years of age or more, who were admitted to the Uludag Teaching Hospital between October 1, 2004 and February 1, 2005, and developed diarrhea at least three days after hospital admission. A case-control study was per-formed.
Results. - The total incidence of nosocomial diarrhea was 0.6 per 1,000 hospitalization-days and 5 per 1,000 patients' admissions. Previous use of chemotherapy was found to be an important predisposing factor for nosocomial diarrhea. The incidence of CDAD was 0.26 per 1,000 hospitalization-days and 2.1 per 1,000 admissions, comparable with incidence rates in Europe.
CDAD was diagnosed in 43% of patients with nosocomial diarrhea. No severe cases of CDAD were diagnosed. A correlation was found between CDAD and antibiotic use before admission and during admission in univariate analysis. PCR ribotyping revealed four strains of PCR ribotype 002 and I strain of ribotype 0 12 Out of 5 C difficile strains available for extensive identification.
Conclusion. - The incidence rates of nosocomial diarrhea and CDAD are not different than the usual incidence rates in Europe. C. difficile was the causative agent in 43% of patients with nosocomial diarrhea.
Description
Keywords
Clostridium difficile, Clostridium difficile-associated diarrhea, Nosocomial diarrhea, Arbitrarily primed pcr, Risk-factors, Toxin production, North-america, Outbreak, Disease, Epidemıology, Diagnosis, Gastroenteritis, Prevalence, Infectious diseases
Citation
Ergen, E. K. vd. (2009). "Nosocomial diarrhea and Clostridium Difficile associated diarrhea in a Turkish University Hospital". Medecine et Maladies Infectieuses, 39(6), 382-387.