A review of mortality due to Clostridium difficile infection

被引:122
作者
Karas, J. A. [1 ]
Enoch, D. A. [2 ]
Aliyu, S. H. [1 ]
机构
[1] Addenbrookes Hosp, Hlth Protect Agcy, Clin Microbiol & Publ Hlth Lab, Cambridge CB2 0QQ, England
[2] Peterborough Dist Gen Hosp, Clin Microbiol & Publ Hlth Lab, Peterborough PE3 6JW, Cambs, England
关键词
Clostridium difficile; Hospital acquired infection; Nosocomial infections; Pseudomembranous colitis; Mortality; RISK-FACTORS; NOSOCOMIAL INFECTION; LARGE OUTBREAK; DISEASE; DIARRHEA; COLITIS; MANAGEMENT; METRONIDAZOLE; MORBIDITY; HOSPITALS;
D O I
10.1016/j.jinf.2010.03.025
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In this review we examine published literature to ascertain mortality in relation to Clostridium difficile infection (CDI) and the factors associated with mortality. In the 27 studies that had sufficient data, there were 10975 cases of CDI with great heterogeneity in the methods for reporting mortality. We calculated the overall associated mortality to be at least 5.99% within 3 months of diagnosis. The most important finding is that higher mortality is associated with advanced age, being 13.5% in patients over 80 years. Studies performed after 2000 had a significantly higher mortality than those before this date. We propose minimum standards for reporting mortality in future studies. (c) 2010 The British Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1 / 8
页数:8
相关论文
共 46 条
[1]   The acquisition and outcome of ICU-acquired Clostridium difficile infection in a single centre in the UK [J].
Ang, Chin Wee ;
Heyes, Graham ;
Morrison, Paul ;
Carr, Bryan .
JOURNAL OF INFECTION, 2008, 57 (06) :435-440
[2]  
Arvand M, 2009, EUROSURVEILLANCE, P14
[3]   Mortality of patients with antibiotic-associated diarrhoea: the impact of Clostridium difficile [J].
Bishara, J. ;
Peled, N. ;
Pitlik, S. ;
Samra, Z. .
JOURNAL OF HOSPITAL INFECTION, 2008, 68 (04) :308-314
[4]   Predictors of mortality after colectomy for fulminant Clostridium difficile colitis [J].
Byrn, John C. ;
Maun, Dipen C. ;
Gingold, Daniel S. ;
Baril, Donald T. ;
Ozao, Junko J. ;
Divino, Celia M. .
ARCHIVES OF SURGERY, 2008, 143 (02) :150-154
[5]   MANAGEMENT AND CONTROL OF A LARGE OUTBREAK OF DIARRHEA DUE TO CLOSTRIDIUM-DIFFICILE [J].
CARTMILL, TDI ;
PANIGRAHI, H ;
WORSLEY, MA ;
MCCANN, DC ;
NICE, CN ;
KEITH, E .
JOURNAL OF HOSPITAL INFECTION, 1994, 27 (01) :1-15
[6]   Pricing, production, and inventory policies for manufacturing with stochastic demand and discretionary sales [J].
Chan, Lap Mui Ann ;
Simchi-Levi, David ;
Swann, Julie .
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT, 2006, 8 (02) :149-168
[7]   Risk factors and mortality associated with Clostridium difficile-associated diarrhoea at a VA hospital [J].
Changela, U ;
Cannon, JP ;
Aneziokoro, C ;
Shah, PS ;
Thottapurathu, L ;
Lentino, J .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2004, 24 (06) :562-566
[8]   Management of an outbreak of Clostridium difficile-associated disease among geriatric patients [J].
Cherifi, S. ;
Delmee, M. ;
Van Broeck, J. ;
Beyer, I. ;
Byl, B. ;
Mascart, G. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2006, 27 (11) :1200-1205
[9]  
CREAGH H, 2008, BMJ-BRIT MED J, V336, P529
[10]   Fulminant Clostridium difficile:: An underappreciated and increasing cause of death and complications [J].
Dallal, RM ;
Harbrecht, BG ;
Boujoukas, AJ ;
Sirio, CA ;
Farkas, LM ;
Lee, KK ;
Simmons, RL .
ANNALS OF SURGERY, 2002, 235 (03) :363-372