Asunto(s)
Humanos , Femenino , Adulto , Trastornos de Deglución , Disartria , Encefalitis , Herpes Simple , Parálisis FacialAsunto(s)
Trastornos de Deglución , Disartria , Encefalitis por Herpes Simple , Parálisis Facial , HumanosRESUMEN
OBJECTIVE: The aim of the study was to know the characteristics and risk factors of Clostridioides difficile infection (CDI) in a long-term hospital is key to improve its management. METHODS: Retrospective study with 37 patients, along 43 months. We describe demographic variables, clinical data, time to diagnosis, treatment, and evolution. RESULTS: Analysis of 46 episodes (37 patients, mean age=82.2 years). 77.8% were absolutely dependent, 41.7% had chronic kidney disease, 64.9% had received antibiotics in the previous three months, 40.5% received antibiotics at diagnosis. It was the first episode in 78.4%, and first recurrence in 21.6%. Therapy was started in the first 24 hours after diagnosis in 89.2%, mostly metronidazole. 83.3% recovered, 3 patients died from CDI, diagnosis was registered in the discharge report in 91.1%. CONCLUSIONS: Previous antibiotic therapy, high grade of dependency and renal failure were the main risk factors. There is room for improvement in CDI management at our hospital.
Asunto(s)
Clostridioides difficile , Infecciones por Clostridium , Anciano de 80 o más Años , Antibacterianos/uso terapéutico , Clostridioides , Infecciones por Clostridium/tratamiento farmacológico , Infecciones por Clostridium/epidemiología , Convalecencia , Hospitales , Humanos , Estudios RetrospectivosRESUMEN
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