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First Polish outbreak of Clostridium difficile ribotype 027 infections among dialysis patients.

Lachowicz D, Szulencka G, Obuch-Woszczatyński P, van Belkum A, Pituch H - Eur. J. Clin. Microbiol. Infect. Dis. (2014)

Bottom Line: An increase in the number of cases of diarrhoea was noted among patients hospitalised between 26 November 2012 and 17 December 2012 in a hospital in North Poland.Eight patients were on haemodialysis in the outpatient dialysis facility, while one patient was receiving peritoneal dialysis.One strain, isolated from the patient receiving peritoneal dialysis, belonged to PCR ribotype 001.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical Microbiology, Medical University of Warsaw, 5 Chałubiński Street, 02-004, Warsaw, Poland.

ABSTRACT
This report describes an outbreak of Clostridium difficile infection (CDI) in a nephrology ward in 2012, caused by the fluoroquinolone- and clindamycin-resistant polymerase chain reaction (PCR) ribotype 027 strains. An increase in the number of cases of diarrhoea was noted among patients hospitalised between 26 November 2012 and 17 December 2012 in a hospital in North Poland. Eight patients were on haemodialysis in the outpatient dialysis facility, while one patient was receiving peritoneal dialysis. The 027 strain could be detected in eight haemodialysis patients. One strain, isolated from the patient receiving peritoneal dialysis, belonged to PCR ribotype 001. In this study, we documented the first outbreak of CDI caused by a fluoroquinolone-resistant (FQR) C. difficile PCR ribotype 027 strain in Polish dialysis patients.

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A history of symptoms of CDI among all dialysis patients hospitalised in the nephrology unit
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Fig1: A history of symptoms of CDI among all dialysis patients hospitalised in the nephrology unit

Mentions: Initially, two cases of CDI were detected in the nephrology unit. The first patient was admitted to the internal department of cardiovascular diabetology on 15 November. Subsequently, the patient was transferred to the nephrology unit. Since his risk of acquiring C. difficile was high, he was placed under isolation. CDI was diagnosed on 26 November. Patient 2 was admitted on 14 November. CDI was diagnosed after 14 days of hospitalisation. A history of the symptoms of CDI among all dialysis patients hospitalised in the nephrology unit is shown in Fig. 1.Fig. 1


First Polish outbreak of Clostridium difficile ribotype 027 infections among dialysis patients.

Lachowicz D, Szulencka G, Obuch-Woszczatyński P, van Belkum A, Pituch H - Eur. J. Clin. Microbiol. Infect. Dis. (2014)

A history of symptoms of CDI among all dialysis patients hospitalised in the nephrology unit
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4281364&req=5

Fig1: A history of symptoms of CDI among all dialysis patients hospitalised in the nephrology unit
Mentions: Initially, two cases of CDI were detected in the nephrology unit. The first patient was admitted to the internal department of cardiovascular diabetology on 15 November. Subsequently, the patient was transferred to the nephrology unit. Since his risk of acquiring C. difficile was high, he was placed under isolation. CDI was diagnosed on 26 November. Patient 2 was admitted on 14 November. CDI was diagnosed after 14 days of hospitalisation. A history of the symptoms of CDI among all dialysis patients hospitalised in the nephrology unit is shown in Fig. 1.Fig. 1

Bottom Line: An increase in the number of cases of diarrhoea was noted among patients hospitalised between 26 November 2012 and 17 December 2012 in a hospital in North Poland.Eight patients were on haemodialysis in the outpatient dialysis facility, while one patient was receiving peritoneal dialysis.One strain, isolated from the patient receiving peritoneal dialysis, belonged to PCR ribotype 001.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical Microbiology, Medical University of Warsaw, 5 Chałubiński Street, 02-004, Warsaw, Poland.

ABSTRACT
This report describes an outbreak of Clostridium difficile infection (CDI) in a nephrology ward in 2012, caused by the fluoroquinolone- and clindamycin-resistant polymerase chain reaction (PCR) ribotype 027 strains. An increase in the number of cases of diarrhoea was noted among patients hospitalised between 26 November 2012 and 17 December 2012 in a hospital in North Poland. Eight patients were on haemodialysis in the outpatient dialysis facility, while one patient was receiving peritoneal dialysis. The 027 strain could be detected in eight haemodialysis patients. One strain, isolated from the patient receiving peritoneal dialysis, belonged to PCR ribotype 001. In this study, we documented the first outbreak of CDI caused by a fluoroquinolone-resistant (FQR) C. difficile PCR ribotype 027 strain in Polish dialysis patients.

Show MeSH
Related in: MedlinePlus