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Standardised surveillance of Clostridium difficile infection in European acute care hospitals: a pilot study, 2013.

Abstract：

:Clostridium difficile infection (CDI) remains poorly controlled in many European countries, of which several have not yet implemented national CDI surveillance. In 2013, experts from the European CDI Surveillance Network project and from the European Centre for Disease Prevention and Control developed a protocol with three options of CDI surveillance for acute care hospitals: a 'minimal' option (aggregated hospital data), a 'light' option (including patient data for CDI cases) and an 'enhanced' option (including microbiological data on the first 10 CDI episodes per hospital). A total of 37 hospitals in 14 European countries tested these options for a three-month period (between 13 May and 1 November 2013). All 37 hospitals successfully completed the minimal surveillance option (for 1,152 patients). Clinical data were submitted for 94% (1,078/1,152) of the patients in the light option; information on CDI origin and outcome was complete for 94% (1,016/1,078) and 98% (294/300) of the patients in the light and enhanced options, respectively. The workload of the options was 1.1, 2.0 and 3.0 person-days per 10,000 hospital discharges, respectively. Enhanced surveillance was tested and was successful in 32 of the hospitals, showing that C. difficile PCR ribotype 027 was predominant (30% (79/267)). This study showed that standardised multicountry surveillance, with the option of integrating clinical and molecular data, is a feasible strategy for monitoring CDI in Europe.

journal_name

Euro Surveill

journal_title

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

authors

van Dorp SM,Kinross P,Gastmeier P,Behnke M,Kola A,Delmée M,Pavelkovich A,Mentula S,Barbut F,Hajdu A,Ingebretsen A,Pituch H,Macovei IS,Jovanović M,Wiuff C,Schmid D,Olsen KE,Wilcox MH,Suetens C,Kuijper EJ,European C

doi

10.2807/1560-7917.ES.2016.21.29.30293

subject

Has Abstract

pub_date

2016-07-21 00:00:00

issue

29

eissn

1025-496X

issn

1560-7917

pii

30293

journal_volume

21

pub_type

杂志文章

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