Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities

被引：2

作者：

D'Agata, Erika M. C. ^{[1
]}

Apata, Ibironke W. ^{[2
,3
]}

Booth, Stephanie ^{[3
]}

Boyce, John M. ^{[4
]}

Deaver, Karen ^{[5
]}

Gualandi, Nicole ^{[3
]}

Neu, Alicia ^{[6
]}

Duc Nguyen ^{[3
]}

Novosad, Sharon ^{[3
]}

Palevsky, Paul M. ^{[7
,8
]}

Rodgers, Darlene ^{[9
]}

机构：

[1] Brown Univ, Warren Alpert Sch Med, Div Infect Dis, Providence, RI 02912 USA

[2] Emory Univ, Sch Med, Div Renal Med, Atlanta, GA USA

[3] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA USA

[4] JM Boyce Consulting LLC, Middletown, CT USA

[5] Univ Virginia, Dialysis Program, Charlottesville, VA USA

[6] Johns Hopkins Univ, Div Pediat Nephrol, Sch Med, Baltimore, MD USA

[7] Vet Adm Pittsburgh Healthcare Syst, Renal Sect, Pittsburgh, PA USA

[8] Univ Pittsburgh, Sch Med, Renal Electrolyte Div, Pittsburgh, PA USA

[9] Alliance Kidney Hlth, Amer Soc Nephrol, Washington, DC USA

来源：

KIDNEY INTERNATIONAL | 2021年 / 99卷 / 05期

关键词：

antimicrobials; Clostridioides difficile; environment; hemodialysis; infections; transmission; INFECTION; CARE; COLONIZATION; ACQUISITION; CONSUMPTION; DIARRHEA; DISEASE;

D O I：

10.1016/j.kint.2021.02.028

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Clostridioides difficile infections (CDIs) cause substantial morbidity and mortality. Patients on maintenance hemodialysis are 2 to 2.5 times more likely to develop CDI, with mortality rates 2-fold higher than the general population. Hospitalizations due to CDI among the maintenance hemodialysis population are high, and the frequency of antibiotic exposures and hospitalizations may contribute to CDI risk. In this report, a panel of experts in clinical nephrology, infectious diseases, and infection prevention provide guidance, based on expert opinion and published literature, aimed at preventing the spread of CDI in outpatient hemodialysis facilities.

引用

页码：1045 / 1053

页数：9

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