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Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients
Clostridium difficile is the leading cause of infectious diarrhoea in hospitalized patients. The aim of this study was to determine the risk factors important for the development of hospital-acquired Clostridium difficile-associated disease and clinical manifestations of Clostridium difficile-associ...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elsevier
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052357/ https://www.ncbi.nlm.nih.gov/pubmed/27528082 http://dx.doi.org/10.1016/j.bjm.2016.07.011 |
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author | Predrag, Stojanović |
author_facet | Predrag, Stojanović |
author_sort | Predrag, Stojanović |
collection | PubMed |
description | Clostridium difficile is the leading cause of infectious diarrhoea in hospitalized patients. The aim of this study was to determine the risk factors important for the development of hospital-acquired Clostridium difficile-associated disease and clinical manifestations of Clostridium difficile-associated disease. The clinical trial group included 37 hospitalized patients who were selected according to the inclusion criteria. A control group of 74 hospitalized patients was individually matched with cases based on hospital, age (within 4 years), sex and month of admission. Clostridium difficile-associated disease most commonly manifested as diarrhoea (56.76%) and colitis (32%), while in 8.11% of patients, it was diagnosed as pseudomembranous colitis, and in one patient, it was diagnosed as fulminant colitis. Statistically significant associations (p < 0.05) were found with the presence of chronic renal failure, chronic obstructive pulmonary disease, cerebrovascular accident (stroke) and haemodialysis. In this study, it was confirmed that all the groups of antibiotics, except for tetracycline and trimethoprim–sulfamethoxazole, were statistically significant risk factors for Clostridium difficile-associated disease (p < 0.05). However, it was difficult to determine the individual role of antibiotics in the development of Clostridium difficile-associated disease. Univariate logistic regression also found that applying antibiotic therapy, the duration of antibiotic therapy, administration of two or more antibiotics to treat infections, administering laxatives and the total number of days spent in the hospital significantly affected the onset of Clostridium difficile-associated disease (p < 0.05), and associations were confirmed using the multivariate model for the application of antibiotic therapy (p = 0.001), duration of antibiotic treatment (p = 0.01), use of laxatives (p = 0.01) and total number of days spent in the hospital (p = 0.001). In this study of patients with hospital-acquired diarrhoea, several risk factors for the development of Clostridium difficile-associated disease were identified. |
format | Online Article Text |
id | pubmed-5052357 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-50523572016-10-12 Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients Predrag, Stojanović Braz J Microbiol Medical Microbiology Clostridium difficile is the leading cause of infectious diarrhoea in hospitalized patients. The aim of this study was to determine the risk factors important for the development of hospital-acquired Clostridium difficile-associated disease and clinical manifestations of Clostridium difficile-associated disease. The clinical trial group included 37 hospitalized patients who were selected according to the inclusion criteria. A control group of 74 hospitalized patients was individually matched with cases based on hospital, age (within 4 years), sex and month of admission. Clostridium difficile-associated disease most commonly manifested as diarrhoea (56.76%) and colitis (32%), while in 8.11% of patients, it was diagnosed as pseudomembranous colitis, and in one patient, it was diagnosed as fulminant colitis. Statistically significant associations (p < 0.05) were found with the presence of chronic renal failure, chronic obstructive pulmonary disease, cerebrovascular accident (stroke) and haemodialysis. In this study, it was confirmed that all the groups of antibiotics, except for tetracycline and trimethoprim–sulfamethoxazole, were statistically significant risk factors for Clostridium difficile-associated disease (p < 0.05). However, it was difficult to determine the individual role of antibiotics in the development of Clostridium difficile-associated disease. Univariate logistic regression also found that applying antibiotic therapy, the duration of antibiotic therapy, administration of two or more antibiotics to treat infections, administering laxatives and the total number of days spent in the hospital significantly affected the onset of Clostridium difficile-associated disease (p < 0.05), and associations were confirmed using the multivariate model for the application of antibiotic therapy (p = 0.001), duration of antibiotic treatment (p = 0.01), use of laxatives (p = 0.01) and total number of days spent in the hospital (p = 0.001). In this study of patients with hospital-acquired diarrhoea, several risk factors for the development of Clostridium difficile-associated disease were identified. Elsevier 2016-07-25 /pmc/articles/PMC5052357/ /pubmed/27528082 http://dx.doi.org/10.1016/j.bjm.2016.07.011 Text en © 2016 Sociedade Brasileira de Microbiologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Medical Microbiology Predrag, Stojanović Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients |
title | Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients |
title_full | Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients |
title_fullStr | Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients |
title_full_unstemmed | Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients |
title_short | Analysis of risk factors and clinical manifestations associated with Clostridium difficile disease in Serbian hospitalized patients |
title_sort | analysis of risk factors and clinical manifestations associated with clostridium difficile disease in serbian hospitalized patients |
topic | Medical Microbiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052357/ https://www.ncbi.nlm.nih.gov/pubmed/27528082 http://dx.doi.org/10.1016/j.bjm.2016.07.011 |
work_keys_str_mv | AT predragstojanovic analysisofriskfactorsandclinicalmanifestationsassociatedwithclostridiumdifficilediseaseinserbianhospitalizedpatients |