| Naslov: | Clostridioides difficile ribotype distribution in a large teaching hospital in Serbia |
|---|
| Avtorji: | ID Korać, Miloš (Avtor)
ID Rupnik, Maja (Avtor)
ID Nikolić, Nataša (Avtor)
ID Jovanović, Milica (Avtor)
ID Tošić, Tanja (Avtor)
ID Malinić, Jovan (Avtor)
ID Mitrović, Nikola (Avtor)
ID Marković, Marko (Avtor)
ID Vujović, Ankica (Avtor)
ID Peruničić, Sanja (Avtor)
ID Bojović, Ksenija (Avtor)
ID Đorđević, Vladimir V. (Avtor)
ID Barać, Aleksandra (Avtor)
ID Milošević, Ivana (Avtor) |
|---|
| Datoteke: |  Korac-2020-_i_Clostridioides_difficile__i__rib.pdf (1,16 MB)
MD5: D584D96CBDD41FEC24B074E4C0574F61
 https://doi.org/10.1186/s13099-020-00364-7
|
|---|
| Jezik: | Angleški jezik |
|---|
| Vrsta gradiva: | Znanstveno delo |
|---|
| Tipologija: | 1.01 - Izvirni znanstveni članek |
|---|
| Organizacija: | MF - Medicinska fakulteta
|
|---|
| Opis: | Background: The global epidemic of nosocomial diarrhea caused by Clostridioides (Clostridium) difficile started in 2000, with high mortality rates and emergence of a new hypervirulent strain NAP1/BI/027. The aim of this study was to assess the presence of ribotype 027 and other C. difficile ribotypes in a Serbian University Hospital, compare the temporal variability of ribotypes 3 years apart, as well as to compare clinical, demographic and laboratory characteristics and disease outcome among patients infected with 027 and non-027 ribotype. This was a prospective observational cohort study addressing 4-month intervals during 2014/2015 and 2017/2018.
Results: Ribotyping was performed in 64 non-duplicate C. difficile strains. Ribotype 027 was the most prevalent, and was detected in 53 (82.8%) patients (43/45 and 10/19 patients in 2014-2015 and 2017/2018, respectively). Other detected ribotypes were 001/072 in 4 (6.3%), 002 in 4 (6.3%), 014/020 in 2 (3.1%) and 176 in 1 (1.5%) patient. The percentage of the patients infected with ribotype 027 significantly decreased during the 3-year period, from 95.6 to 52.6% (p < 0.001). Ribotype 027 infection was associated with fluoroquinolone treatment more frequently than infection with other ribotypes [33 (62.3%) vs. 2 (18.2%), p = 0.010)]. A severe C. difficile infection was diagnosed more often in patients with the detected ribotype 027 compared to those infected with non-027 ribotypes (p = 0.006). No significant difference in the mortality and recurrence rates was found between the patients infected with ribotype 027 and those infected with other ribotypes [10/53 (18.8%) vs. 2/11 (18.2%), p = 0.708, and 10/35 (28.6%) vs. 0/2 (0%), p = 1.000, respectively].
Conclusion: Clostridium difficile ribotype 027 was the most prevalent ribotype among patients in a large Serbian hospital, but there is a clear decreasing trend. |
|---|
| Ključne besede: | Clostridium difficile, ribotype 027, Serbia |
|---|
| Status publikacije: | Objavljeno |
|---|
| Verzija publikacije: | Objavljena publikacija |
|---|
| Poslano v recenzijo: | 24.01.2020 |
|---|
| Datum sprejetja članka: | 16.05.2020 |
|---|
| Datum objave: | 22.05.2020 |
|---|
| Založnik: | BioMed Central |
|---|
| Leto izida: | 2020 |
|---|
| Št. strani: | Str. 1-6 |
|---|
| Številčenje: | Letn. 12, št. članka 26 |
|---|
| PID: | 20.500.12556/DKUM-91674  |
|---|
| UDK: | 579.852.13 |
|---|
| COBISS.SI-ID: | 26265603 |
|---|
| DOI: | 10.1186/s13099-020-00364-7 |
|---|
| ISSN pri članku: | 1757-4749 |
|---|
| Datum objave v DKUM: | 27.01.2025 |
|---|
| Število ogledov: | 0 |
|---|
| Število prenosov: | 5 |
|---|
| Metapodatki: |    |
|---|
| Področja: | Ostalo
|
|---|
|
:
|
Kopiraj citat |
|---|
| | | | Skupna ocena: | (0 glasov) |
|---|
| Vaša ocena: | Ocenjevanje je dovoljeno samo prijavljenim uporabnikom. |
|---|
| Objavi na: |  |
|---|
Postavite miškin kazalec na naslov za izpis povzetka. Klik na naslov izpiše
podrobnosti ali sproži prenos. |
