Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

The incidence of nosocomial toxigenic clostridium difficile associated diarrhea in Tehran tertiary medical centers

(2010) The incidence of nosocomial toxigenic clostridium difficile associated diarrhea in Tehran tertiary medical centers. Acta medica Iranica. pp. 320-5. ISSN 1735-9694 (Electronic) 0044-6025 (Linking)

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/21287466

Abstract

Clostridium difficile is the most common cause of nosocomial diarrhea. It is usually a consequence of antibiotic treatment, But sporadic cases can occur. This study was aimed to determine the frequency of the nosocomial Clostridium difficile (C. difficile) associated diarrhea in Tehran University of Medical Sciences hospitals and study of antibacterial susceptibility of isolates. In this study a total of 942 stool samples from patients with nosocomial diarrhea that were hospitalized in Imam Khomeini hospital, Shariati hospital and Children clinical center were collected. The samples were cultured on a selective cycloserine cefoxitin fructose agar (CCFA) and incubated in anaerobic conditions, at 37 degrees C for 5 days. Isolates were characterized to species level by conventional biochemical tests. Bacterial cytotoxicity was assayed on tissue culture (vero). Antimicrobial sensitivity of isolated toxigenic C. difficile were investigated by kirby Beuer method (disk diffusion). Our findings show that, of the total patients, 57 toxigenic C. difficile (6.1) were isolated. Results of statistical analysis show significant differences between the rate of isolated toxigenic C. difficile and age group of patients (P<0.05). Among the wards of selected hospitals, in gastroenterology of Children clinical center, Toxigenic C. difficile was isolated from patients most frequently. The sensitivity of isolates to vancomycin, Chloramphenicol and ceftriaxone were higher than other antibiotics. Toxigenic C. difficile is a common hospital-acquired infection. The organism was found in 6.1 hospitalized patients. Further studies to evaluate the rate and role of toxigenic C. difficile in nosocomial diarrheal processes, ecological and pathogenic terms are suggested.

Item Type: Article
Keywords: Academic Medical Centers/*statistics & numerical data Adolescent Adult Aged Anti-Bacterial Agents/therapeutic use Chi-Square Distribution Child Child, Preschool Clostridium difficile/*isolation & purification Cross Infection/drug therapy/*epidemiology/microbiology Diarrhea/drug therapy/*epidemiology/microbiology Drug Resistance, Bacterial Enterocolitis, Pseudomembranous/drug therapy/*epidemiology/microbiology Feces/microbiology Female Humans Incidence Infant Infant, Newborn Iran/epidemiology Male Microbial Sensitivity Tests Middle Aged Treatment Outcome Young Adult
Page Range: pp. 320-5
Journal or Publication Title: Acta medica Iranica
Journal Index: Pubmed
Volume: 48
Number: 5
ISSN: 1735-9694 (Electronic) 0044-6025 (Linking)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/1195

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