How to: Surveillance of Clostridium difficile infections

Detalhes bibliográficos
Autor(a) principal: Krutova, M.
Data de Publicação: 2018
Outros Autores: Kinross, P., Barbut, F., Hajdu, A., Wilcox, M.H., Kuijper, E.J., The survey contributors
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/6270
Resumo: The survey contributors: INSA - M. Oleastro (National Institute of Health Dr Ricardo Jorge, Lisboa, Portugal)
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spelling How to: Surveillance of Clostridium difficile infectionsAlgorithmsClostridium InfectionsCross InfectionDisease OutbreaksEuropeHumansIncidenceQuality Indicators, Health CareClostridium difficilePublic Health SurveillanceInfecções GastrointestinaisThe survey contributors: INSA - M. Oleastro (National Institute of Health Dr Ricardo Jorge, Lisboa, Portugal)Supplementary data related to this article can be found at https://doi.org/10.1016/j.cmi.2017.12.008.Background: 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.Elsevier/ European Society of Clinical Microbiology and Infectious DiseasesRepositório Científico do Instituto Nacional de SaúdeKrutova, M.Kinross, P.Barbut, F.Hajdu, A.Wilcox, M.H.Kuijper, E.J.The survey contributors2019-03-21T15:59:19Z2018-052018-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/6270engClin Microbiol Infect. 2018 May;24(5):469-475. doi: 10.1016/j.cmi.2017.12.008. Epub 2017 Dec 201198-743X10.1016/j.cmi.2017.12.008info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:18Zoai:repositorio.insa.pt:10400.18/6270Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:40:53.379019Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv How to: Surveillance of Clostridium difficile infections
title How to: Surveillance of Clostridium difficile infections
spellingShingle How to: Surveillance of Clostridium difficile infections
Krutova, M.
Algorithms
Clostridium Infections
Cross Infection
Disease Outbreaks
Europe
Humans
Incidence
Quality Indicators, Health Care
Clostridium difficile
Public Health Surveillance
Infecções Gastrointestinais
title_short How to: Surveillance of Clostridium difficile infections
title_full How to: Surveillance of Clostridium difficile infections
title_fullStr How to: Surveillance of Clostridium difficile infections
title_full_unstemmed How to: Surveillance of Clostridium difficile infections
title_sort How to: Surveillance of Clostridium difficile infections
author Krutova, M.
author_facet Krutova, M.
Kinross, P.
Barbut, F.
Hajdu, A.
Wilcox, M.H.
Kuijper, E.J.
The survey contributors
author_role author
author2 Kinross, P.
Barbut, F.
Hajdu, A.
Wilcox, M.H.
Kuijper, E.J.
The survey contributors
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Krutova, M.
Kinross, P.
Barbut, F.
Hajdu, A.
Wilcox, M.H.
Kuijper, E.J.
The survey contributors
dc.subject.por.fl_str_mv Algorithms
Clostridium Infections
Cross Infection
Disease Outbreaks
Europe
Humans
Incidence
Quality Indicators, Health Care
Clostridium difficile
Public Health Surveillance
Infecções Gastrointestinais
topic Algorithms
Clostridium Infections
Cross Infection
Disease Outbreaks
Europe
Humans
Incidence
Quality Indicators, Health Care
Clostridium difficile
Public Health Surveillance
Infecções Gastrointestinais
description The survey contributors: INSA - M. Oleastro (National Institute of Health Dr Ricardo Jorge, Lisboa, Portugal)
publishDate 2018
dc.date.none.fl_str_mv 2018-05
2018-05-01T00:00:00Z
2019-03-21T15:59:19Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/6270
url http://hdl.handle.net/10400.18/6270
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Clin Microbiol Infect. 2018 May;24(5):469-475. doi: 10.1016/j.cmi.2017.12.008. Epub 2017 Dec 20
1198-743X
10.1016/j.cmi.2017.12.008
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dc.publisher.none.fl_str_mv Elsevier/ European Society of Clinical Microbiology and Infectious Diseases
publisher.none.fl_str_mv Elsevier/ European Society of Clinical Microbiology and Infectious Diseases
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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