RESUMEN
ABSTRACT Background: Clostridioides difficile infection (CDI) is the most common cause of healthcare-associated infections in Western countries. Risk factors, mortality, and healthcare utilization for CDI in Latin America are poorly understood. This study assessed risk factors and burden associated with nosocomial CDI in four Latin American countries. Methods: This retrospective, case-control study used databases and medical records from 8 hospitals in Argentina, Brazil, Chile, and Mexico to identify nosocomial CDI cases from 2014 − 2017. Cases were patients aged ≥18 years with diarrhea and a positive CDI test ≥72 h after hospital admission. Two controls (without diarrhea; length of hospital stay [LOS] ≥3 days; admitted ±14 days from case patient; shared same ward) were matched to each case. CDI-associated risk factors were assessed by univariate and multivariable analyses. CDI burden (LOS, in-hospital mortality) was compared between cases and controls. Results: The study included 481 cases and 962 controls. Mean age and sex were similar between cases and controls, but mean Charlson comorbidity index (4.3 vs 3.6; p< 0.001) and recent hospital admission (35.3% vs 18.8%; p< 0.001) were higher among cases. By multivariable analyses, CDI risk was associated with prior hospital admission within 3 months (odds ratio [OR], 2.08; 95% CI: 1.45, 2.97), recent antibiotic use (ie, carbapenem; OR, 2.85; 95% CI: 1.75, 4.64), acid suppressive therapy use (OR, 1.71; 95% CI: 1.14, 2.58), and medical conditions (ie, renal disease; OR, 1.48; 95% CI: 1.19, 1.85). In-hospital mortality rate (18.7% vs 6.9%; p< 0.001) and mean overall LOS (33.5 vs 18.8 days; p< 0.001) were higher and longer, respectively, in cases versus controls. Conclusion: Antibiotic exposure, preexisting medical conditions, and recent hospital admission were major risk factors for CDI in Argentina, Brazil, Chile, and Mexico. CDI was associated with increased in-hospital risk of death and longer LOS. These findings are consistent with published literature in Western countries.
Asunto(s)
Infección Hospitalaria/epidemiología , Clostridioides difficile , Infecciones por Clostridium/epidemiología , Argentina , Brasil/epidemiología , Estudios de Casos y Controles , Estudios Retrospectivos , Factores de Riesgo , Clostridioides , América Latina/epidemiología , México/epidemiologíaRESUMEN
BACKGROUND: Clostridioides difficile infection (CDI) is the most common cause of healthcare-associated infections in Western countries. Risk factors, mortality, and healthcare utilization for CDI in Latin America are poorly understood. This study assessed risk factors and burden associated with nosocomial CDI in four Latin American countries. METHODS: This retrospective, case-control study used databases and medical records from 8 hospitals in Argentina, Brazil, Chile, and Mexico to identify nosocomial CDI cases from 2014â¯-â¯2017. Cases were patients aged ≥18 years with diarrhea and a positive CDI test ≥72â¯h after hospital admission. Two controls (without diarrhea; length of hospital stay [LOS] ≥3 days; admitted ±14 days from case patient; shared same ward) were matched to each case. CDI-associated risk factors were assessed by univariate and multivariable analyses. CDI burden (LOS, in-hospital mortality) was compared between cases and controls. RESULTS: The study included 481 cases and 962 controls. Mean age and sex were similar between cases and controls, but mean Charlson comorbidity index (4.3 vs 3.6; pâ¯<â¯0.001) and recent hospital admission (35.3% vs 18.8%; pâ¯<â¯0.001) were higher among cases. By multivariable analyses, CDI risk was associated with prior hospital admission within 3 months (odds ratio [OR], 2.08; 95% CI: 1.45, 2.97), recent antibiotic use (ie, carbapenem; OR, 2.85; 95% CI: 1.75, 4.64), acid suppressive therapy use (OR, 1.71; 95% CI: 1.14, 2.58), and medical conditions (ie, renal disease; OR, 1.48; 95% CI: 1.19, 1.85). In-hospital mortality rate (18.7% vs 6.9%; pâ¯<â¯0.001) and mean overall LOS (33.5 vs 18.8 days; pâ¯<â¯0.001) were higher and longer, respectively, in cases versus controls. CONCLUSION: Antibiotic exposure, preexisting medical conditions, and recent hospital admission were major risk factors for CDI in Argentina, Brazil, Chile, and Mexico. CDI was associated with increased in-hospital risk of death and longer LOS. These findings are consistent with published literature in Western countries.
Asunto(s)
Clostridioides difficile , Infecciones por Clostridium , Infección Hospitalaria , Adolescente , Adulto , Argentina , Brasil/epidemiología , Estudios de Casos y Controles , Chile , Clostridioides , Infecciones por Clostridium/epidemiología , Infección Hospitalaria/epidemiología , Humanos , América Latina/epidemiología , México/epidemiología , Estudios Retrospectivos , Factores de RiesgoRESUMEN
Los tumores neurogénicos de la vía biliar son raros siendo generalmente neuromas de amputación posteriores a colecistectomía.Describimos un neurofibroma aislado del colédoco en un varón joven sin antecedentes quirúrgicos. Presentaba dolor abdominal crónico recurrente, vómitos y pérdida de peso sin signos clínicos de enfermedad de Von Recklinghausen o icterícia.El hepatograma era normal.La ecografía detecto una formación sólida que comprimía el colédoco proximal.La colangiopancreatografía retrógrada confirmó la estenosis.Se realizó exéresis quirúrgica del tumor y anastomosis bi-hepático yeyunal.El examen microscópico reportó neurofibroma intraparietal del colédoco. Como entidad aislada, nosotros conocemos solamente un caso publicado.
Asunto(s)
Humanos , Masculino , Adulto , Neoplasias del Conducto Colédoco/patología , Neurofibroma/patología , Colangiopancreatografia Retrógrada Endoscópica , Neoplasias del Conducto Colédoco , NeurofibromaRESUMEN
Los tumores neurogénicos de la vía biliar son raros siendo generalmente neuromas de amputación posteriores a colecistectomía.Describimos un neurofibroma aislado del colédoco en un varón joven sin antecedentes quirúrgicos. Presentaba dolor abdominal crónico recurrente, vómitos y pérdida de peso sin signos clínicos de enfermedad de Von Recklinghausen o icterícia.El hepatograma era normal.La ecografía detecto una formación sólida que comprimía el colédoco proximal.La colangiopancreatografía retrógrada confirmó la estenosis.Se realizó exéresis quirúrgica del tumor y anastomosis bi-hepático yeyunal.El examen microscópico reportó neurofibroma intraparietal del colédoco. Como entidad aislada, nosotros conocemos solamente un caso publicado.(AU)