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https://www.readbyqxmd.com/read/27876339/diagnosis-and-treatment-of-clostridium-difficile-c-diff-colitis-review-of-the-literature-and-a-perspective-in-gynecologic-oncology
#1
REVIEW
Kristin N Taylor, Michael T McHale, Cheryl C Saenz, Steven C Plaxe
Clostridium difficile infection (CDI) is a major cause of nosocomial diarrhea with the potential for significant morbidity and mortality. Colonization in a susceptible individual, with risk factors such as prior antibiotic use, advanced age, or medical comorbidities, may result in symptomatic infection. Although patients with a gynecologic malignancy may be at a higher risk of developing CDI due to an increased likelihood of having one or more risk factors, data do not consistently support the idea that chemotherapy or cancer itself are independently associated with CDI...
November 19, 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/27850214/574-extreme-body-mass-indices-are-associated-with-greater-mortality-in-patients-with-c-diff-infections
#2
William McGee, Brian Nathanson, Thomas Higgins
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27801920/hydralazine-induced-anca-vasculitis-in-the-setting-of-acute-clostridium-difficile-infection
#3
Somwail Rasla, Amr El Meligy, Dragos F Cucu
We report a rare case of Hydralazine-induced ANCA associated glomerulonephritis with alveolar hemorrhage in the setting of acute Clostridium Difficile Infection. A 71-year-old Caucasian woman with hypertension, who was being treated with hydralazine 25 mg twice a day for six years, presented to the hospital with diarrhea, nausea, vomiting and anemia. She had acute kidney injury and urinalysis showed proteinuria, dysmorphic RBCs, and rare RBC cast. She was found to have Clostridium difficile colitis which was successfully treated...
November 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27651167/clostridium-difficile-infection-diagnostics-evaluation-of-the-c-diff-quik-chek-complete-assay-a-rapid-enzyme-immunoassay-for-detection-of-toxigenic-c-difficile-in-clinical-stool-samples
#4
Karin Johansson, Hanna Karlsson, Torbjörn Norén
Diagnostic testing for Clostridium difficile infection (CDI) has, in recent years, seen the introduction of rapid dual-EIA (enzyme immunoassay) tests combining species-specific glutamate dehydrogenase (GDH) with toxin A/B. In a prospective study, we compared the C. DIFF Quik Chek Complete test to a combination of selective culture (SC) and loop-mediated isothermal amplification (LAMP) of the toxin A gene. Of 419 specimens, 68 were positive in SC including 62 positive in LAMP (14.7%). The combined EIA yielded 82 GDH positives of which 47 were confirmed toxin A/B positive (11%) corresponding to a sensitivity and specificity of 94% for GDH EIA compared to SC and for toxin A/B EIA a sensitivity of 71% and a specificity of 99% compared to LAMP...
November 2016: APMIS: Acta Pathologica, Microbiologica, et Immunologica Scandinavica
https://www.readbyqxmd.com/read/27625418/evaluation-of-the-performance-of-c-diff-quik-chek-complete-and-its-usefulness-in-a-hospital-setting-with-a-high-prevalence-of-clostridium-difficile-infection
#5
Hae-Sun Chung, Miae Lee
Rapid and accurate diagnosis of Clostridium difficile infection (CDI) is crucial for patient care, infection control, and efficient surveillance. We evaluated C. DIFF QUIK CHEK COMPLETE (QCC; TechLab), which detects glutamate dehydrogenase (GDH) antigen (QCC-Ag) and toxin A/B (QCC-Tox) simultaneously, and compared it to the laboratory diagnostics for CDI currently in use in a tertiary hospital setting with a high prevalence of CDI. QCC, RIDASCREEN C. difficile toxin A/B assay (Toxin EIA; R-Biopharm AG), chromID C...
September 13, 2016: Journal of Investigative Medicine: the Official Publication of the American Federation for Clinical Research
https://www.readbyqxmd.com/read/27535127/comparing-effects-of-soybean-oil-and-palm-olein-based-mayonnaise%C3%A2-consumption-on-the-plasma-lipid-and-lipoprotein-profiles-in-human-subjects-a-double-blind-randomized-controlled-trial-with-cross-over-design
#6
Tilakavati Karupaiah, Khun-Aik Chuah, Karuthan Chinna, Ryosuke Matsuoka, Yasunobu Masuda, Kalyana Sundram, Michihiro Sugano
BACKGROUND: Mayonnaise is used widely in contemporary human diet with widespread use as a salad dressing or spread on breads. Vegetable oils used in its formulation may be a rich source of ω-6 PUFAs and the higher-PUFA content of mayonnaise may be beneficial in mediating a hypocholesterolemic effect. This study, therefore, evaluated the functionality of mayonnaise on cardiometabolic risk within a regular human consumption scenario. METHODS: Subjects underwent a randomized double-blind crossover trial, consuming diets supplemented with 20 g/day of either soybean oil-based mayonnaise (SB-mayo) or palm olein-based mayonnaise (PO-mayo) for 4 weeks each with a 2-week wash-out period...
2016: Lipids in Health and Disease
https://www.readbyqxmd.com/read/27465145/characterisation-of-clostridium-difficile-strains-isolated-from-groote-schuur-hospital-cape-town-south-africa
#7
B Kullin, T Brock, N Rajabally, F Anwar, G Vedantam, S Reid, V Abratt
The C. difficile infection rate in South Africa is concerning. Many strains previously isolated from diarrhetic patients at Groote Schuur Hospital were ribotype 017. This study further characterised these strains with respect to their clonal relationships, antibiotic susceptibility, toxin production and various attributes impacting on pathogen colonisation. Multilocus variable-number tandem-repeat analysis (MLVA) was used to characterise all C. difficile isolates. Antibiotic susceptibility was determined by E-test and PCR-based analysis of the ermB, gyrA and gyrB genes...
October 2016: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/27351123/cracking-down-on-c-diff
#8
Kathleen Murray
No abstract text is available yet for this article.
July 2016: Nursing Management
https://www.readbyqxmd.com/read/27337554/clostridium-difficile-infection-an-emerging-cause-of-death-in-the-twenty-first-century
#9
Viytta N Abdullatif, Andrew Noymer
Enterocolitis due to Clostridium difficile is major emerging cause of death in the U.S. Between 1999 and 2012, C. diff. deaths rose by a staggering almost ten-fold amount, to 7,739 from 793. This article has three goals. First, we present a demographic description of C. diff. mortality in the U.S. since 1999. Second, we test a hypothesis that the increase in C. diff. deaths is due to population aging. We find that the emergence of this cause of death follows a proportional hazard pattern above age 40. Thus, population aging is not the only factor responsible for the increase in C...
2016: Biodemography and Social Biology
https://www.readbyqxmd.com/read/27031464/an-economic-analysis-of-strategies-to-control-clostridium-difficile-transmission-and-infection-using-an-agent-based-simulation-model
#10
Richard E Nelson, Makoto Jones, Molly Leecaster, Matthew H Samore, William Ray, Angela Huttner, Benedikt Huttner, Karim Khader, Vanessa W Stevens, Dale Gerding, Marin L Schweizer, Michael A Rubin
BACKGROUND: A number of strategies exist to reduce Clostridium difficile (C. difficile) transmission. We conducted an economic evaluation of "bundling" these strategies together. METHODS: We constructed an agent-based computer simulation of nosocomial C. difficile transmission and infection in a hospital setting. This model included the following components: interactions between patients and health care workers; room contamination via C. difficile shedding; C. difficile hand carriage and removal via hand hygiene; patient acquisition of C...
2016: PloS One
https://www.readbyqxmd.com/read/27004398/-recent-epidemiology-of-clostridium-difficile-infection-in-japan
#11
Yuka Yamagishi, Hiroshige Mikamo
Clostridium difficile (C. difficile) is a major pathogen for diarrhea in hospitalized patients and because of outbreak of highly virulent strain in EU and US, increased length of hospital stay and increased numbers of severe patients and deaths have become major challenges. In recent years, transmissions through community-acquired or food-borne infections are reported. National surveillance has been already performed overseas. Guidelines for preventing C. difficile infection (CDI) is available, and education activities are promoted for preventing the infection spread...
December 2015: Japanese Journal of Antibiotics
https://www.readbyqxmd.com/read/26966622/a-diagnostic-algorithm-for-the-detection-of-clostridium-difficile-associated-diarrhea
#12
Özlem Yoldaş, Mustafa Altındiş, Davut Cufalı, Gülşah Aşık, Recep Keşli
BACKGROUND: Clostridium difficile is a common cause of hospital-acquired diarrhea, which is usually associated with previous antibiotic use. The clinical manifestations of C. difficile infection (CDI) may range from mild diarrhea to fulminant colitis. Clostridium difficile should be considered in diarrhea cases with a history of antibiotic use within the last 8 weeks (community-associated CDI) or with a hospital stay of at least 3 days, regardless of the duration of antibiotic use (hospital-acquired CDI)...
January 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/26827404/stopping-the-spread-of-c-diff
#13
(no author information available yet)
No abstract text is available yet for this article.
March 2015: American Nurse
https://www.readbyqxmd.com/read/26767058/quality-outcomes-in-the-surgical-intensive-care-unit-after-electronic-health-record-implementation
#14
V H Flatow, N Ibragimova, C M Divino, D S A Eshak, B C Twohig, A M Bassily-Marcus, R Kohli-Seth
BACKGROUND: The electronic health record (EHR) is increasingly viewed as a means to provide more coordinated, patient-centered care. Few studies consider the impact of EHRs on quality of care in the intensive care unit (ICU) setting. OBJECTIVES: To evaluate key quality measures of a surgical intensive care unit (SICU) following implementation of the Epic EHR system in a tertiary hospital. METHODS: A retrospective chart review was undertaken to record quality indicators for all patients admitted to the SICU two years before and two years after EHR implementation...
2015: Applied Clinical Informatics
https://www.readbyqxmd.com/read/26548233/-utility-of-a-simultaneous-detection-kit-for-glutamate-dehydrogenase-and-toxin-a-b-with-toxigenic-culture-in-the-diagnosis-and-treatment-of-clostridium-difficile-infection
#15
Akio Kikuchi, Hiroko Suzuki, Hiroko Shishido, Satomi Abe, Mikako Nakajima, Junko Maeda, Isao Tamura, Mitsuru Shiroishi, Mariko Usui
We examined how doctors evaluate the results of C. DIFF QUIK CHEK COMPLETE (COMPLETE) in the diagnosis and treatment of Clostridium difficile infection (CDI). A total of 887 stool samples submitted from 2012 to 2013 were examined with COMPLETE. Requested specimens among samples with discrepant results were inoculated onto CCMA plates and incubated under anaerobic conditions for 48 h, then retested by COMPLETE if positive culture results were obtained. Of the 887 specimens, 198 (22.3%) were glutamate dehydrogenase-positive and 73(8...
June 2015: Rinsho Byori. the Japanese Journal of Clinical Pathology
https://www.readbyqxmd.com/read/26477226/reusable-sharps-bins-linked-to-higher-c-diff-rate
#16
(no author information available yet)
No abstract text is available yet for this article.
July 8, 2015: Nursing Times
https://www.readbyqxmd.com/read/26165021/-analysis-of-clostridium-difficile-associated-diarrhea-in-pediatric-patients-with-antibiotic-associated-diarrhea
#17
Guoping Cheng, Zihua Li, Xin Dai, Zaihua Wang, Ping Cai, Li Chen, Zhen Zhang
OBJECTIVE: To analyze the incidence and treatment of Clostridium difficile infection (CDI) in pediatric patients with antibiotic-associated diarrhea (AAD). METHOD: Clinical data of totally 577 pediatric patients with AAD seen from January 2012 to January 2014 were collected; those children were divided according to age into 4 groups, 0.25 -1 year, >1 -4 years, >4 -12 years and >12 -18 years old groups, and 220 healthy children were enrolled as controls...
March 2015: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/26099613/-diagnosis-of-infections-caused-by-clostridium-difficile-in-the-czech-republic-availability-possibilities-and-interpretation-of-laboratory-results
#18
M Krůtová, O Nyč
OBJECTIVE: To assess the availability of the laboratory diagnosis of infections caused by C. difficile in the Czech Republic (CR), including the range of tests used, possible combinations, and adequate interpretation of model results. MATERIAL AND METHODS: Data were collected through a web questionnaire survey with the participation of representatives of 61 public and private microbiological laboratories. The questionnaire addressed the use of diagnostic test kits and culture media in the diagnosis of C...
June 2015: Epidemiologie, Mikrobiologie, Imunologie
https://www.readbyqxmd.com/read/25789370/fda-grants-fast-track-designation-for-pfizer%C3%A2-s-c-diff-vaccine-candidate
#19
(no author information available yet)
No abstract text is available yet for this article.
2014: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/25496277/differential-impact-of-infection-control-strategies-on-rates-of-resistant-hospital-acquired-pathogens-in-critically-ill-surgical-patients
#20
Sudha P Jayaraman, Reza Askari, Molli Bascom, Xiaoxia Liu, Selwyn O Rogers, Michael Klompas
BACKGROUND: There were two major outbreaks of multi-drug resistant Acinetobacter baumannii (MDRA) in our general surgery and trauma intensive care units (ICUs) in 2004 and 2011. Both required aggressive multi-faceted interventions to control. We hypothesized that the infection control response may have had a secondary benefit of reducing rates of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), and Clostridium difficile (C. diff). METHODS: We analyzed data retrospectively from a prospective infection control database at a major university hospital and calculated the incidence rates of nosocomial MRSA, VRE, and C...
December 2014: Surgical Infections
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