Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities.

Autor: D'Agata EMC; Division of Infectious Diseases, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA., Apata IW; Division of Renal Medicine, Emory University School of Medicine, Atlanta, Georgia, USA; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Booth S; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Boyce JM; J.M. Boyce Consulting, LLC, Middletown, Connecticut, USA., Deaver K; University of Virginia Dialysis Program, Charlottesville, Virginia, USA., Gualandi N; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Neu A; Division of Pediatric Nephrology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Nguyen D; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Novosad S; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Palevsky PM; Renal Section, Veterans Administration Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA; Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Rodgers D; American Society of Nephrology Alliance for Kidney Health, Washington, DC, USA.
Jazyk: angličtina
Zdroj: Kidney international [Kidney Int] 2021 May; Vol. 99 (5), pp. 1045-1053. Date of Electronic Publication: 2021 Mar 02.
DOI: 10.1016/j.kint.2021.02.028
Abstrakt: Clostridioides difficile infections (CDIs) cause substantial morbidity and mortality. Patients on maintenance hemodialysis are 2 to 2.5 times more likely to develop CDI, with mortality rates 2-fold higher than the general population. Hospitalizations due to CDI among the maintenance hemodialysis population are high, and the frequency of antibiotic exposures and hospitalizations may contribute to CDI risk. In this report, a panel of experts in clinical nephrology, infectious diseases, and infection prevention provide guidance, based on expert opinion and published literature, aimed at preventing the spread of CDI in outpatient hemodialysis facilities.
(Copyright © 2021 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE