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The Impact of Clostridioides Difficile Infection in Hospitalized Patients: What Changed during the Pandemic?

作者信息

Boeriu Alina, Roman Adina, Dobru Daniela, Stoian Mircea, Voidăzan Septimiu, Fofiu Crina

机构信息

Gastroenterology Department, University of Medicine Pharmacy, Sciences, and Technology "George Emil Palade" Targu Mures, 540142 Targu Mures, Romania.

Gastroenterology Department, Mureș County Clinical Hospital, 540103 Targu Mures, Romania.

出版信息

Diagnostics (Basel). 2022 Dec 16;12(12):3196. doi: 10.3390/diagnostics12123196.


DOI:10.3390/diagnostics12123196
PMID:36553203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9778033/
Abstract

(1) Background: () and SARS-CoV-2 coronavirus represent significant health threats. Our study focused on the impact of concurrent infections on patient outcomes against the backdrop of changes imposed by the pandemic. (2) Materials and methods. We performed a retrospective analysis and included patients diagnosed with CDI who were admitted in our hospital before and during the pandemic. We compared patient exposure to risk factors for CDI in both groups and patient negative outcomes: need for ICU care, prolonged hospitalization, organ failure, toxic megacolon, and death. (3) Results. Overall, 188 patients were included, of which 100 had CDI (the pre-pandemic group), and 88 patients presented both CDI and COVID-19 (the pandemic group). Patients in the pandemic group were significantly older, with a higher Charlson Comorbidity Index (CCI) and a greater exposure to antibiotics and corticosteroids, and were more likely to develop organ dysfunction, to require ICU care and have prolonged hospitalization. The severity of COVID-19, leukocytosis and increased D-dimer levels were indicators of poor prognosis in the pandemic group. Higher CCI scores and leukocytosis increased the risk for negative outcomes in CDI alone patients. (4) Conclusions. The study highlights the negative impact of associated infections on patient outcome. The severity of COVID-19 directly influences the prognosis of patients with concurrent infections.

摘要

相似文献

[1]
The Impact of Clostridioides Difficile Infection in Hospitalized Patients: What Changed during the Pandemic?

Diagnostics (Basel). 2022-12-16

[2]
Clostridioides difficile infection in patients with and without COVID-19 during the pandemic: A retrospective cohort study from a tertiary referral hospital.

Anaerobe. 2024-8

[3]
Retrospective Analysis of Infection Rates and Outcomes in Hospitalized Patients during the COVID-19 Pandemic: A Unicenter Study in Reus, Spain.

J Clin Med. 2024-5-9

[4]
Clostridioides difficile infection (CDI) during the COVID-19 pandemic.

Anaerobe. 2022-4

[5]
How Does COVID-19 Pandemic Impact on Incidence of Infection and Exacerbation of Its Gastrointestinal Symptoms?

Front Med (Lausanne). 2021-12-13

[6]
Clostridium Difficile and COVID-19: General Data, Ribotype, Clinical Form, Treatment-Our Experience from the Largest Infectious Diseases Hospital in Western Romania.

Medicina (Kaunas). 2021-10-13

[7]
Infection in COVID-19 Hospitalized Patients: A Nationwide Analysis.

Gastroenterology Res. 2023-8

[8]
Healthcare-associated infection during the COVID-19 pandemic in a tertiary care hospital in Romania.

Rom J Intern Med. 2021-12-1

[9]
COVID-19 and Coinfection Outcomes among Hospitalized Patients in the United States: An Insight from National Inpatient Database.

Infect Dis Rep. 2023-5-19

[10]
infection epidemiology and clinical characteristics in COVID-19 pandemic.

Front Med (Lausanne). 2022-8-22

引用本文的文献

[1]
Incidence and Risk Factors of Secondary Infections in Critically Ill SARS-CoV-2 Patients: A Retrospective Study in an Intensive Care Unit.

Biomedicines. 2025-5-29

[2]
Bacterial Infections, Trends, and Resistance Patterns in the Time of the COVID-19 Pandemic in Romania-A Systematic Review.

Antibiotics (Basel). 2024-12-14

[3]
COVID-19 and Coinfection Analysis in the Intensive Care Unit.

Antibiotics (Basel). 2024-4-17

[4]
Improving Infectious Disease Treatment Response via Adherence to Clinical Practice Guidelines.

Antibiotics (Basel). 2024-1-4

[5]
Long-Term Radiological Pulmonary Changes in Mechanically Ventilated Patients with Respiratory Failure due to SARS-CoV-2 Infection.

Biomedicines. 2023-9-26

[6]
Exploring the Potential of Fecal Microbiota Transplantation as a Therapy in Tuberculosis and Inflammatory Bowel Disease.

Pathogens. 2023-9-9

[7]
Infection in COVID-19 Hospitalized Patients: A Nationwide Analysis.

Gastroenterology Res. 2023-8

[8]
Incidence and Risk Factors for Infections in Non-COVID and COVID-19 Patients: Experience from a Tertiary Care Hospital.

Microorganisms. 2023-2-8

本文引用的文献

[1]
Proton pump inhibitor therapy usage and associated hospitalization rates and critical care outcomes of COVID-19 patients.

Sci Rep. 2022-5-9

[2]
co-infection in patients with COVID-19.

Future Microbiol. 2022-6

[3]
Clostridioides difficile infection (CDI) during the COVID-19 pandemic.

Anaerobe. 2022-4

[4]
Examining the Rate of Clostridioides (Formerly Clostridium) Difficile Infection Pre- and Post-COVID-19 Pandemic: An Institutional Review.

Cureus. 2021-12-13

[5]
How Does COVID-19 Pandemic Impact on Incidence of Infection and Exacerbation of Its Gastrointestinal Symptoms?

Front Med (Lausanne). 2021-12-13

[6]
The burden of Clostridioides difficile infection in COVID-19 patients: A systematic review and meta-analysis.

Anaerobe. 2022-4

[7]
Gastrointestinal manifestations and possible mechanisms of COVID-19 in different periods.

J Dig Dis. 2021-12

[8]
Clostridium Difficile and COVID-19: General Data, Ribotype, Clinical Form, Treatment-Our Experience from the Largest Infectious Diseases Hospital in Western Romania.

Medicina (Kaunas). 2021-10-13

[9]
Corticosteroids Do Not Increase the Likelihood of Primary Infection in the Setting of Broad-Spectrum Antibiotic Use.

Open Forum Infect Dis. 2021-8-11

[10]
COVID-19 and Fulminant Colitis Co-Infection.

Eur J Case Rep Intern Med. 2021-8-24

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