CLOSTRIDIUM DIFFICILE INFECTION OUTBREAK IN A DISTRICT HOSPITAL, ROMANIA, DECEMBER 2013 - FEBRUARY, 2014
Abstract:
In February 2013, we detected a diarrhoea outbreak due to Clostridium difficile (CD) in a
Romanian district hospital. We aimed at describing cases characteristics, identify the potential source
and associated factors to prevent future outbreaks. We identified cases using hospital and laboratory
registries, we calculated incidence rates using as denominator the length of hospitalization and
compared possible factors associated with infection between cases (GDH-positive) and other cases with
diarrhoea in the study period (GDH-negative). The hospital did not have in place a specific guideline for
antimicrobial usage. Laboratory tests were only available since 4th of January. The study identified as
the possible source of the outbreak a case admitted on 9th December followed by infection spread
probably due to not proper isolation of cases. This outbreak could have been limited by: better
implementation of prevention practices, using proper policy in antibiotic consumption, and an active
laboratory-based surveillance of CDI.
full text article in Romanian (.RO) |
full text article in English (.EN) |