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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2003;121:327-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2673 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 2347 "PDF" => 319 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Utilidad de la medición del riesgo coronario a partir de la ecuación del estudio de Framingham: estudio de casos y controles" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "327" "paginaFinal" => "330" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Usefulness of coronary risk assessment using the equation of the Framingham study: a case control study" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Brotons, Purificación Cascant, Aida Ribera, Irene Moral, Gaietà Permanyer" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Carlos" "apellidos" => "Brotons" ] 1 => array:2 [ "nombre" => "Purificación" "apellidos" => "Cascant" ] 2 => array:2 [ "nombre" => "Aida" "apellidos" => "Ribera" ] 3 => array:2 [ "nombre" => "Irene" "apellidos" => "Moral" ] 4 => array:2 [ "nombre" => "Gaietà" "apellidos" => "Permanyer" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775303739384?idApp=UINPBA00004N" "url" => "/00257753/0000012100000009/v1_201307291557/S0025775303739384/v1_201307291557/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original breve</span>" "titulo" => "Diarrea asociada a Clostridium difficile: experiencia en un hospital secundario" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "331" "paginaFinal" => "333" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana M. de Isusi, Elvira González, Pilar Gayoso, Juan Gastelu-Iturri, Luis Barbeito, Ricardo Fernández" "autores" => array:6 [ 0 => array:3 [ "nombre" => "Ana M." "apellidos" => "de Isusi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 1 => array:3 [ "nombre" => "Elvira" "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 2 => array:4 [ "nombre" => "Pilar" "apellidos" => "Gayoso" "email" => array:1 [ 0 => "pgayoso@cristalp.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 3 => array:3 [ "nombre" => "Juan" "apellidos" => "Gastelu-Iturri" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 4 => array:3 [ "nombre" => "Luis" "apellidos" => "Barbeito" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff00015" ] ] ] 5 => array:3 [ "nombre" => "Ricardo" "apellidos" => "Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio Medicina Interna Hospital Cristal. Ourense" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] 1 => array:3 [ "entidad" => "Unidad de Investigación y Epidemiología Clínica de Ourense. Complexo Hospitalario de Ourense. Ourense" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] 2 => array:3 [ "entidad" => "Servicio de Microbiología. Complexo Hospitalario de Ourense. Ourense. España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff00015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dra. P. Gayoso Diz. Unidad de Investigación y Epidemiología Clínica. Ramón Puga, 52-54. 32005 Ourense. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clostridium difficile: experience at a secondary hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-12-31" "fechaAceptado" => "2003-04-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec222037" "palabras" => array:3 [ 0 => "Clostridium difficile" 1 => "Colitis seudomembranosa" 2 => "Hiponatremia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec222036" "palabras" => array:3 [ 0 => "Clostridium difficile" 1 => "Pseudomembranous colitis" 2 => "Hyponatremia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de esteestudio fue conocer la incidencia, las característicasclínicas, la evolución y la mortalidadde la diarrea hospitalaria asociada aClostridium difficile.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo,realizado entre 1999 y 2001, de 113 casosde diarrea por C. difficile, determinadosmediante toxina positiva en heces o colonoscopiadiagnóstica de colitis seudomembranosa,una vez descartadas otras causas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se ha observado una incidenciaanual creciente (1,3-1,7-2,6 por cada1.000 ingresos en los años 1999, 2000 y2001, respectivamente). La hiponatremia(OR = 5,16) y los vómitos (OR = 3,09) fueronfactores de mal pronóstico. El riesgo defallecimiento aumentó con la presencia dehiponatremia (OR = 2,72) e insuficienciarenal crónica (OR = 4,45).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La enfermedad asociada aC. difficile está aumentando en incidenciaen nuestro centro por un aumento de sospecha,amplio uso de antibióticos, edad avanzaday gravedad de los pacientes hospitalizados.La hiponatremia podría ser unpredictor de gravedad y mala evolución.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Our purpose wasto know the incidence, clinical profile, evolutionand mortality of Clostridium difficileassociateddiarrhea.</p> <span class="elsevierStyleSectionTitle">Patients And Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective study.Inpatients were included who had a positivetoxin on stools or a diagnostic colonoscopy(pseudomembranous cholitis) after rulingout other causes (n = 113).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We observed a growing annual incidence(1.05, 1.7, and 2.6 per 1000 admissionsin 1999, 2000 and 2001, respectively).Hyponatremia (OR = 5.16) andvomiting (OR = 3.09) were found to be worse-prognosis factors. Hyponatremia (OR =2.72) and chronic renal disease (OR =4.45) increased the mortality risk.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The incidence of C. difficileassociateddiarrea is growing, probably inrelation to increased clinical suspicion,wide antibiotics utilization, and old age ofinpatients. Hyponatremia could be a predictivefactor of both illnes and worse-prognosis.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Colitis pseudomembranosa" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S. García" 1 => "F. 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Original breve
Diarrea asociada a Clostridium difficile: experiencia en un hospital secundario
Clostridium difficile: experience at a secondary hospital