Gould Carolyn V, File Thomas M, McDonald L Clifford
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Division of Infectious Disease, Summa Health System, Akron, OH.
Infect Dis Clin Pract (Baltim Md). 2015 May;23(6):281-288. doi: 10.1097/IPC.0000000000000331.
infection (CDI) is a potentially deadly cause of diarrhea that is virtually always connected to healthcare system exposures, both inpatient and outpatient. Once a disease mainly of hospitals, 75% of CDI cases are now diagnosed outside of hospitals. However, the diagnosis location may not reflect where spores were acquired or antibiotic exposure occurred. Changing epidemiology and increasing awareness about the role of every segment of the healthcare system in mediating this disease makes it clear that reducing its burden will also require active participation from all US healthcare professionals.
艰难梭菌感染(CDI)是腹泻的一个潜在致命原因,几乎总是与住院和门诊的医疗系统接触有关。CDI曾经主要是一种医院疾病,现在75%的病例在医院外被诊断出来。然而,诊断地点可能无法反映孢子的获取位置或抗生素暴露发生的地点。不断变化的流行病学以及对医疗系统各环节在介导这种疾病中作用的认识不断提高,这表明减轻其负担也需要美国所有医疗专业人员的积极参与。