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How to: Surveillance of Clostridium difficile infections

2018-05Journal article Restricted access
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dc.contributor.authorKrutova, M.
dc.contributor.authorKinross, P.
dc.contributor.authorBarbut, F.
dc.contributor.authorHajdu, A.
dc.contributor.authorWilcox, M.H.
dc.contributor.authorKuijper, E.J.
dc.contributor.authorThe survey contributors
dc.date.accessioned2019-03-21T15:59:19Z
dc.date.available2019-03-21T15:59:19Z
dc.date.issued2018-05
dc.descriptionThe survey contributors: INSA - M. Oleastro (National Institute of Health Dr Ricardo Jorge, Lisboa, Portugal)pt_PT
dc.descriptionSupplementary data related to this article can be found at https://doi.org/10.1016/j.cmi.2017.12.008.pt_PT
dc.description.abstractBackground: The increasing incidence of Clostridium difficile infections (CDI) in healthcare settings in Europe since 2003 has affected both patients and healthcare systems. The implementation of effective CDI surveillance is key to enable monitoring of the occurrence and spread of C. difficile in healthcare and the timely detection of outbreaks. Aims: The aim of this review is to provide a summary of key components of effective CDI surveillance and to provide some practical recommendations. We also summarize the recent and current national CDI surveillance activities, to illustrate strengths and weaknesses of CDI surveillance in Europe. Sources: For the definition of key components of CDI surveillance, we consulted the current European Society of Clinical Microbiology and Infectious Diseases (ESCMID) CDI-related guidance documents and the European Centre for Disease Prevention and Control (ECDC) protocol for CDI surveillance in acute care hospitals. To summarize the recent and current national CDI surveillance activities, we discussed international multicentre CDI surveillance studies performed in 2005e13. In 2017, we also performed a new survey of existing CDI surveillance systems in 33 European countries. Content: Key components for CDI surveillance are appropriate case definitions of CDI, standardized CDI diagnostics, agreement on CDI case origin definition, and the presentation of CDI rates with well-defined numerators and denominators. Incorporation of microbiological data is required to provide information on prevailing PCR ribotypes and antimicrobial susceptibility to first-line CDI treatment drugs. In 2017, 20 European countries had a national CDI surveillance system and 21 countries participated in ECDCcoordinated CDI surveillance. Since 2014, the number of centres with capacity for C. difficile typing has increased to 35 reference or central laboratories in 26 European countries. Implications: Incidence rates of CDI, obtained from a standardized CDI surveillance system, can be used as an important quality indicator of healthcare at hospital as well as country level.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationClin Microbiol Infect. 2018 May;24(5):469-475. doi: 10.1016/j.cmi.2017.12.008. Epub 2017 Dec 20pt_PT
dc.identifier.doi10.1016/j.cmi.2017.12.008pt_PT
dc.identifier.issn1198-743X
dc.identifier.urihttp://hdl.handle.net/10400.18/6270
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier/ European Society of Clinical Microbiology and Infectious Diseasespt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/abs/pii/S1198743X1730681X?via%3Dihubpt_PT
dc.subjectAlgorithmspt_PT
dc.subjectClostridium Infectionspt_PT
dc.subjectCross Infectionpt_PT
dc.subjectDisease Outbreakspt_PT
dc.subjectEuropept_PT
dc.subjectHumanspt_PT
dc.subjectIncidencept_PT
dc.subjectQuality Indicators, Health Carept_PT
dc.subjectClostridium difficilept_PT
dc.subjectPublic Health Surveillancept_PT
dc.subjectInfecções Gastrointestinaispt_PT
dc.titleHow to: Surveillance of Clostridium difficile infectionspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage475pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage469pt_PT
oaire.citation.titleClinical Microbiology and Infectionpt_PT
oaire.citation.volume24pt_PT
rcaap.embargofctPolítica editorial da revistapt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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