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Inicio Medicina Clínica (English Edition) Clostridium difficile associated diarrhoea: An increased problem
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Vol. 147. Issue 12.
Pages 543-546 (December 2016)
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Vol. 147. Issue 12.
Pages 543-546 (December 2016)
Clinical report
Clostridium difficile associated diarrhoea: An increased problem
Diarrea por Clostridium difficile: un problema en aumento
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Leticia Urbina Sotoa, Sara García Ávilaa, Ana Isabel Córdoba Alonsoa, M. Pía Roiz Mesonesb, Ana M. Arnaiz Garcíaa, M. Carmen Valero Díaz de Lamadrida,
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mirvdc@humv.es

Corresponding author.
a Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain
b Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain
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Table 1. Clinical profile of patients with Clostridium difficile-associated diarrhoea.
Abstract
Introduction

Clostridium difficile associated diarrhoea is a major health problem that seems to be on the increase. In our study, we analyse the changes in the incidence of this infection over the last 11 years.

Methods

A descriptive study in hospitalised patients with C. difficile associated diarrhoea in University Hospital Marqués de Valdecilla (Santander, Spain) from 2004 to 2014.

Results

A total of 244 adults were identified [53% men; 66 (SD 15) years]. The cases of nosocomial acquisition (80%), with respect to community acquired C. difficile infection, were older [67 (SD 15) years vs. 63 (19) years; p=0.01], high comorbidity (86% vs. 75%; p=0.01), use of antibiotics (95% vs. 75%; p<0.001) and proton pump inhibitors (87% vs. 48% p<0.001). There has been an increasing incidence of C. difficile associated diarrhoea in our hospital over an 11-year period.

Conclusion

The clinical profile of patients with C. difficile diarrhoea varies by place of acquisition of infection. The prevalence of this disease is increasing.

Keywords:
Clostridium difficile
Diarrhoea
Acquisition
Resumen
Introducción

La diarrea por Clostridium difficile constituye un importante problema de salud que parece incrementarse. En nuestro estudio analizamos los cambios en la incidencia de esta infección en los últimos 11 años.

Material y métodos

Estudio retrospectivo de los pacientes hospitalizados con diarrea por Clostridium difficile diagnosticados en el Hospital Universitario Marqués de Valdecilla (Santander) desde el año 2004 hasta el 2014.

Resultados

Se estudió a 244 pacientes (53% varones) de 66 (DE 15) años. Los casos de adquisición hospitalaria (80%) tenían, respecto a los de adquisición comunitaria, mayor edad [67 (DE 15) vs. 63 (DE 19) años; p=0,01], comorbilidad alta (86% hospitalarios y 75% comunitarios; p=0,01), uso de antibióticos (95 vs. 75%; p<0,001) e inhibidores de la bomba de protones (87 vs. 48%; p<0,001). Se incrementaron los casos con diarrea por Clostridium difficile en los últimos 11 años.

Conclusión

El perfil clínico de los pacientes con diarrea por Clostridium difficile varía según el lugar de adquisición de la infección. Aumenta la prevalencia de esta enfermedad.

Palabras clave:
Clostridium difficile
Diarrea
Adquisición

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