Factors Associated with Clostridioides (Clostridium) Difficile Infection and Colonization: Ongoing Prospective Cohort Study in a French University Hospital
- Type de publi. : Article dans une revue
- Date de publi. : 15/07/2021
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Auteurs :
Nagham KhanaferPhilippe VanhemsSabrina BenniaGéraldine Martin-GaujardLaurent JuillardThomas RimmeléLaurent ArgaudOlivier MartinLaetitia HuriauxGuillaume MarcotteRomain HernuBernard FloccardPierre CassierStudy Group
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Organismes :
Fondation Mérieux
Centre International de Recherche en Infectiologie
Hôpital Edouard Herriot [CHU - HCL]
ESCMID Study Group for Clostridioides Difficile (ESGCD)
Santé publique, épidémiologie et écologie évolutive des maladies infectieuses [CIRI]
Hôpital Edouard Herriot [CHU - HCL]
Santé publique, épidémiologie et écologie évolutive des maladies infectieuses [CIRI]
Hôpital Edouard Herriot [CHU - HCL]
Université Claude Bernard Lyon 1
Cardiovasculaire, métabolisme, diabétologie et nutrition
Service de Néphrologie Hospices Civils - hta - dialyse
Hôpital Edouard Herriot [CHU - HCL]
Cardiovasculaire, métabolisme, diabétologie et nutrition
Hôpital Edouard Herriot [CHU - HCL]
Centre de recherche sur les liens sociaux
Centre Hospitalier Intercommunal Toulon-La Seyne sur Mer - Hôpital Sainte-Musse
Hôpital Edouard Herriot [CHU - HCL]
Hôpital de la Croix-Rousse [CHU - HCL]
Hôpital Edouard Herriot [CHU - HCL]
Hôpital Edouard Herriot [CHU - HCL]
- Publié dans International Journal of Environmental Research and Public Health le 01/11/2020
Résumé : Introduction: Clostridioides (Clostridium) difficile can be isolated from stool in 3% of healthy adults and in at least 10% of asymptomatic hospitalized patients. C. difficile, the most common cause of hospital-acquired infectious diarrhea in the developed world, has re-emerged in recent years with increasing incidence and severity. In an effort to reduce the spread of the pathogen, published recommendations suggest isolation and contact precautions for patients suffering from C. difficile infection (CDI). However, asymptomatic colonized patients are not targeted by infection control policies, and active surveillance for colonization is not routinely performed. Moreover, given the current changes in the epidemiology of CDI, particularly the emergence of new virulent strains either in the hospital or community settings, there is a need for identification of factors associated with colonization by C. difficile and CDI. Methods and analysis: We are carrying out a prospective, observational, cohort study in Edouard Herriot Hospital, Hospices Civils de Lyon, a 900-bed university hospital in Lyon, France. All consecutive adult patients admitted on selected units are eligible to participate in the study. Stool samples or rectal swabs for C. difficile testing are obtained on admission, every 3–5 days during hospitalization, at the onset of diarrhea (if applicable), and at discharge. Descriptive and logistic regression analyses will be completed to mainly estimate the proportion of asymptomatic colonization at admission, and to evaluate differences between factors associated with colonization and those related to CDI. Ethics: The study is conducted in accordance with the ethical principles of the Declaration of Helsinki, French law, and the Good Clinical Practice guidelines. The study protocol design was approved by the participating units, the ethics committee and the hospital institutional review board (Comité de protection des personnes et Comission Nationale de l’Informatique et des Libertés; N°: 00009118). Dissemination: The results of this study will be disseminated by presenting the findings locally at each participating ward, as well as national and international scientific meetings. Findings will be shared with interested national societies crafting guidelines in CDI.
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