Title Mjere kontrole širenja infekcije uzrokovane s Clostridium difficile
Title (english) Control measures for the spread of infection caused by Clostridium difficile
Author Dejana Prepelić
Mentor Mihaela Kranjčević-Ščurić (mentor)
Committee member Tomislav Meštrović (predsjednik povjerenstva)
Committee member Mihaela Kranjčević-Ščurić (član povjerenstva)
Committee member Jurica Veronek (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2019-09-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Clostridioides difficile je prvi puta identificirana 1935. godine. Riječ „difficile“ potječe od
latinske riječi „težak“ što ukazuje na otežanu kultivaciju. Infekcije uzrokovane C. difficile uzrok
su povećanih troškova liječenja u zdravstvu zbog dugih i često ponavljanih hospitalizacija, te
predstavljaju frustraciju za bolesnike. Najčešći simptom je proljev koji počinje 5 - 10 dana nakon
početka antibiotske terapije. Neki od čimbenika rizika pojave C. difficile su komorbiditet i
hospitalizacija. Vrlo je bitna rana dijagnoza, identifikacija bolesnika i započeti terapiju kao mjere
liječenja i prevencije širenja C. difficile. Spore C. difficile mogu se naći na medicinskoj opremi
koja dolaze u izravan kontakt s pacijentom, te na površinama oko pacijenta. Najčešće se u
liječenju koriste metronidazol, vankomicin, te fidaksomicin. U literaturi se u novije vrijeme kao
alternativa sve češće spominje fekalna transplantacija. Fekalnom transplantacijom želi se postići
obnova crijevne flore oboljele osobe s ciljem da se u crijevo oboljele osobe prenose bakterije
crijevne flore zdravog donora. Prevencija infekcije uzrokovane C. difficile u bolnicama vrlo je
važna u što spada smanjenje i restrikcija potrošnje antibiotika, izolacija bolesnika, higijena
ruku, te čišćenje i dezinfekcija okoline bolesnika. Jedna od najučinkovitijih mjera za
ograničavanje širenja C. difficile je obrazovanje osoblja. Jednako važno i učinkovito u prevenciji
širenja je da zdravstveni djelatnici obavijeste pacijenta o važnosti pridržavanja mjera za
sprečavanje širenja infekcije uzrokovane C. difficile i daju mu odgovore na pitanja.
Ovim istraživanjem željelo se istražiti i usporediti na temelju 22 znanstvena članka i njihovih
autora učestalost pojave C. difficile u različitim zemljama i kontinentima, uvidjeti stope
prijenosa infekcija proljeva uzrokovanog C. difficile, ponavlja li se bolest nakon prve infekcije
uzrokovane C. difficile, te usporediti stope infekcija uzrokovanih C. difficile u različitim
zemljama i kontinentima. Podatci su prikupljeni pregledom i usporedbom objavljenih
znanstvenih članaka u bazama podataka ( PubMed, Croatian Journal of Education, Croatian
Journal of Infection, Hrčak, Acta Medica Croatica). Istraživanje je pokazalo da je učestalost
infekcija uzrokovanih C. difficile velika. Najčešće se put prijenosa javlja između bolesnika u
prostorijama gdje oni borave, a često slijede i recidivi nakon prve infekcije bolesti. Jednako tako
uočava se porast stopa infekcija uzrokovanih C. difficile u različitim zemljama i kontinentima.
Abstract (english) Clostridioides difficile was first identefied in 1935. Word „difficile“ is derived from the latin
„difficult“, which implies on difficult cultivation. Infections caused by C. difficile add costs to
healthcare because of repeated hospitalizations, higher costs, and also represent frustration for
the patient. The most common symptom is diarrhea that begins 5-10 days after the start of
antibiotic therapy. The main causes of C. difficile are comorbidity and hospitalization. The most
important is early diagnosis with the identification of the patient and also starting the therapy
which controls the symptoms. C. difficile spores can be found on subjects which come into direct
contact with the patient and also on the surfaces around the patient. Metronidazole, vancomycin
and fidaxomycin are most commonly used in treatment. Recently, in the literature has been
increasingly mentioned fecal transplantation as an alternative. The main goal is to achieve the
restoration of the intestinal flora of the diseased person with the aim of transfering the bacteria of
the intestinal flora of a healthy donor to the diseased patient. It is important to follow the
prescribed guidelines for the treatment of C. difficile infection according to the patients clinical
picture. Prevention of the infection with C. difficile in hospitals is very important because of
reducing antibiotic consumption. Patient isolation, hand hygiene and enviromental cleanup and
disinfection are also important. One of the most effective measures to limit the spread of C.
difficile is staff education. It is important for healthcare proffesionals to in form the patient about
the spread of C. difficile infection.
On the basis of 22 scientific articles, the aim of this study was to investigate and also
compare the incidence of C. difficile in different countries and continents, see the rates of
diarrhea transmission, recurrence of the disease after the first C. difficile infection and compare
the rates of C. difficile infections in different countries and continents. Data for this research
were collected by reviewing and comparing published scientific articles in databases ( PubMed,
Croatian Journal of Education, Croatian Journal of Infection, Hrčak, Acta Medica Croatica ).
The study found that the incidence of C. difficile infections is high. The transfer pathway takes
place between patients in the rooms where they are staying, and relapses are often after the first
infection of the disease. It has been proven that the rate of C. difficile infections in different
countries and continents.
Keywords
C. difficile
liječenje
izolacija
prevencija infekcija povezanih sa zdravstvenom skrbi
sestrinstvo
Keywords (english)
C. difficile
treatment
contact isolation
prevention of healthcare associated infections
nursing
Language croatian
URN:NBN urn:nbn:hr:122:343844
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2019-10-28 13:28:12