Risk factors for the development of Clostridium difficile colitis in a surgical ward
DC Field | Value | Language |
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dc.contributor.author | Min Jeong Kim | - |
dc.contributor.author | Byung Seup Kim | - |
dc.contributor.author | Jae Woo Kwon | - |
dc.contributor.author | So-Eun Ahn | - |
dc.contributor.author | 이승순 | - |
dc.contributor.author | 박형철 | - |
dc.contributor.author | 이봉화 | - |
dc.date.accessioned | 2021-06-18T09:44:02Z | - |
dc.date.available | 2021-06-18T09:44:02Z | - |
dc.date.issued | 2012-07 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.issn | 2093-0488 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/45997 | - |
dc.description.abstract | Purpose: Clostridium difficile colitis (CDC) is a nosocomial infection. We attempted to discover the risk factors for the development of CDC in patients admitted to our surgical ward. Methods: We conducted a retrospective chart review of all patients admitted to our surgical ward between January 2010 and July 2011. CDC was confirmed when toxin A/B or toxin B polymerase chain reaction was detected in the stool and clinical symptoms, such as diarrhea, were present. We divided patients into the CDC and non-CDC groups, and compared the clinical features between the two groups. Results: The rate of CDC occurrence was 0.4% (19/4,720 patients). Univariate analysis showed that colectomy (P < 0.001), hospital stays longer than 10 days (P < 0.001), aged over 55 years (P < 0.001) and transfer from medical ward (P = 0.009) were significant parameters for CDC. Multivariate analysis showed that colectomy (P < 0.001; odds ratio [OR], 8.405; 95% confidence interval [CI], 2.927 to 24.132) and hospital stays longer than 10 days (P = 0.035; OR, 10.253; 95% CI, 1.176 to 89.392) were high risk factors for CDC occurrence in the surgical ward. Conclusion: The risk factors for CDC in a surgical ward could be colectomy and a long duration of hospitalization. Therefore, clinicians should consider the possibility of CDC when patients undergo colectomy, are admitted for a long time, and have postoperative diarrhea. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한외과학회 | - |
dc.title | Risk factors for the development of Clostridium difficile colitis in a surgical ward | - |
dc.type | Article | - |
dc.identifier.doi | 10.4174/jkss.2012.83.1.14 | - |
dc.identifier.bibliographicCitation | 대한외과학회지, v.83, no.1, pp 14 - 20 | - |
dc.identifier.kciid | ART001668946 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000305922500003 | - |
dc.identifier.scopusid | 2-s2.0-8486407369 | - |
dc.citation.endPage | 20 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 14 | - |
dc.citation.title | 대한외과학회지 | - |
dc.citation.volume | 83 | - |
dc.publisher.location | 대한민국 | - |
dc.subject.keywordAuthor | Clostridium difficile | - |
dc.subject.keywordAuthor | Colitis | - |
dc.subject.keywordAuthor | Risk factors | - |
dc.subject.keywordAuthor | Colectomy | - |
dc.subject.keywordPlus | PSEUDOMEMBRANOUS COLITIS | - |
dc.subject.keywordPlus | DIARRHEA | - |
dc.subject.keywordPlus | INFECTION | - |
dc.subject.keywordPlus | SURGERY | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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