• Login
    View Item 
    •   DSpace Home
    • Salud y Seguridad Social en Costa Rica
    • Documentos institucionales
    • View Item
    •   DSpace Home
    • Salud y Seguridad Social en Costa Rica
    • Documentos institucionales
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Clostridium difficile outbreak in Costa Rica: control actions and associated factors

    Thumbnail
    View/Open
    clostridium1.pdf (178.0Kb)
    Date
    2012
    Author
    Wong McClure, Roy
    Guevara Rodríguez, Moraima
    Abarca Gómez, Leandra
    Solano Chinchilla, Antonio
    Marchena Picado, Margarita
    O’Shea, Michele
    Badilla Vargas, Xiomara
    Metadata
    Show full item record
    Abstract
    Objective. To describe interventions implemented during a nosocomial outbreak of Clostridium difficile in a general hospital in Costa Rica from December 2009 to April 2010 in order to achieve outbreak control and the factors determined to be associated with C. difficile infection. Methods. Laboratory-confirmed cases of C. difficile were analyzed to describe the outbreak pattern and intervention measures implemented. Cases were selected and recruited in a casecontrol study. Controls were selected from the same services and time period as the cases. Evaluated exposures included underlying medical conditions and treatments administered before the onset of symptoms. Results. The mean ages in case and control groups were 62.3 and 55.3 years, respectively. Control measures included a hand-hygiene campaign, deep disinfection of hospital surfaces, strict isolation of cases, use of personal protection equipment, and restriction of antibiotic use. The adjusted attributable risks associated with the outbreak were diabetes [odds ratio (OR) 3.4, 95% confidence interval (CI) 1.5–7.7], chronic renal failure (OR 9.0, 95% CI 1.5–53.0), and prescribing ceftazidime (OR 33.3, 95% CI 2.9–385.5) and cefotaxime (OR 20.4, 95% CI 6.9–60.3). Conclusions. Timely implementation of control measures resulted in reduced infection transmission and successful control of the outbreak. Conditions associated with C. difficile infection were similar to those found in previously described outbreaks of this bacterium.
    URI
    http://hdl.handle.net/20.500.11764/631
    Collections
    • Documentos institucionales

    BINASSS - Derechos Reservados, 2018
    Contact Us | Send Feedback
    Tema por Atmire Modificado por BINASSS 
    BINASSS
     

     

    Browse

    All of DSpaceCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    BINASSS - Derechos Reservados, 2018
    Contact Us | Send Feedback
    Tema por Atmire Modificado por BINASSS 
    BINASSS