Clostridium difficile, are all our patients diagnosed?

Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial
P Alonso-FernándezP Merino

Abstract

A close correlation between clinical and microbiological diagnosis in Clostridium difficile infection (CDI) is very important to identify how severe is this health problem, and to approach its correct management of it, individually and as a population problem. a) To evaluate if there is an adequate correlation between the microbiological and clinical diagnosis in CDI patients; b) to determine if the discordance between the microbiological and clinical diagnosis could be associated with different clinical patient characteristics, therapeutic attitudes, and outcomes. A retrospective study was conducted, using clinical and epidemiologic data, on inpatients with a microbiological diagnosis of CDI in 2013 in the Hospital Clínico San Carlos in Madrid (Spain), depending on whether their clinical ICD diagnosis was included. From a total of 33,317 discharged patients, 204 patients had a CDI diagnosis. Only 51.5% patients had this diagnosis stated in their discharge report. Patients on whom the clinical diagnosis was included, were older, had higher level of dependence (P<.05), and received treatment for CDI more frequently (P<.001) than patients who did not have the clinical diagnosis included. A lower treatment rate was associated with...Continue Reading

References

Feb 29, 2008·Critical Care : the Official Journal of the Critical Care Forum·Aurora Pop-Vicas, Marguerite A Neill
Jun 25, 2008·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·R-P VonbergC Wiuff
Aug 7, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Pilar SolerRosa Cano
Oct 31, 2008·The New England Journal of Medicine·Ciarán P Kelly, J Thomas LaMont
Dec 4, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Erik R Dubberke, Albert I Wertheimer
Jul 7, 2009·Current Opinion in Critical Care·Jacqueline Janka, Naomi P O'Grady
Nov 26, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·M P BauerUNKNOWN European Society of Clinical Microbiology and Infectious Diseases
Mar 17, 2010·BMJ : British Medical Journal·J Shannon-LoweS H Aliyu
Mar 24, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Stuart H CohenUNKNOWN Infectious Diseases Society of America
Jul 9, 2010·Clinical Microbiology Reviews·J FreemanM H Wilcox
Dec 2, 2010·Nature Reviews. Gastroenterology & Hepatology·Ashwin N Ananthakrishnan
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Becky A MillerDeverick J Anderson
Jul 12, 2011·The Journal of Hospital Infection·L AlcaláUNKNOWN Spanish Clostridium difficile Study Group
Jul 29, 2011·Medicina clínica·Diana MongeAngel Asensio
Dec 6, 2011·Enfermedades infecciosas y microbiología clínica·Angel Asensio, Diana Monge
May 9, 2012·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·L AlcaláUNKNOWN Spanish Clostridium difficile Study Group
Feb 16, 2013·Enfermedades infecciosas y microbiología clínica·Dolors Rodríguez-PardoFerran Navarro
Apr 2, 2014·Revista española de geriatría y gerontología·Teresa Pareja-Sierra

❮ Previous
Next ❯

Citations

Dec 29, 2015·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·C Rodríguez-MartínR Ortiz de Lejarazu-Leonardo
Apr 9, 2016·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M D Esteban-VasalloJ Astray-Mochales

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved