Gulácsi L, Kertész A, Kopcsóné Németh I, Banai J, Ludwig E, Prinz G, Reményi P, Strbák B, Zsoldiné Urbán E, Baji P, Péntek M, Brodszky V. [Clostridium difficile infection: epidemiology, disease burden and therapy].
Orv Hetil 2013;
154:1188-93. [PMID:
23876616 DOI:
10.1556/oh.2013.29674]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
INTRODUCTION
C. difficile causes 25 percent of the antibiotic associated infectious nosocomial diarrhoeas. C. difficile infection is a high-priority problem of public health in each country. The available literature of C. difficile infection's epidemiology and disease burden is limited.
AIM
Review of the epidemiology, including seasonality and the risk of recurrences, of the disease burden and of the therapy of C. difficile infection.
METHOD
Review of the international and Hungarian literature in MEDLINE database using PubMed up to and including 20th of March, 2012.
RESULTS
The incidence of nosocomial C. difficile associated diarrhoea is 4.1/10 000 patient day. The seasonality of C. difficile infection is unproved. 20 percent of the patients have recurrence after metronidazole or vancomycin treatment, and each recurrence increases the chance of a further one. The cost of C. difficile infection is between 130 and 500 thousand HUF (430 € and 1665 €) in Hungary.
CONCLUSIONS
The importance of C. difficile infection in public health and the associated disease burden are significant. The available data in Hungary are limited, further studies in epidemiology and health economics are required.
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