RESUMO
In the last three decades, Clostridium difficile infection (CDI) has increased in incidence and severity in many countries worldwide. The increase in CDI incidence has been particularly apparent among surgical patients. Therefore, prevention of CDI and optimization of management in the surgical patient are paramount. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of CDI in surgical patients according to the most recent available literature. The update includes recent changes introduced in the management of this infection.
Assuntos
Clostridioides difficile/patogenicidade , Infecções por Clostridium/terapia , Complicações Pós-Operatórias/terapia , Antibacterianos/uso terapêutico , Gestão de Antimicrobianos , Infecções por Clostridium/diagnóstico , Enterocolite Pseudomembranosa/etiologia , Enterocolite Pseudomembranosa/prevenção & controle , Transplante de Microbiota Fecal/métodos , Transplante de Microbiota Fecal/tendências , Guias como Assunto , Humanos , Incidência , Controle de Infecções/métodos , Controle de Infecções/tendências , Fatores de RiscoRESUMO
In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.