A Quality Committee's Evaluation of Surgical Intervention for Clostridium difficile Infection
ABSTRACT Clostridium difficile ( C diff ) is an anaerobic bacterium that causes antibiotic-associated colitis, which can progress to a life-threatening illness for some patients. Clostridium difficile is highly transmissible in health care settings and has high morbidity and mortality rates. The inc...
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| Veröffentlicht in: | AORN journal 2009-08, Vol.90 (2), p.192-204 |
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| description | ABSTRACT Clostridium difficile ( C diff ) is an anaerobic bacterium that causes antibiotic-associated colitis, which can progress to a life-threatening illness for some patients. Clostridium difficile is highly transmissible in health care settings and has high morbidity and mortality rates. The increased prevalence of this bacterium and the consequences of infection necessitate an understanding of its transmission and use of stringent infection control practices. A two-year retrospective evaluation was performed to examine the effectiveness of a screening tool for patients requiring surgical intervention for C diff and to determine whether treatment was timely and effective. Early, aggressive surgical intervention appears to be the single most effective treatment for fulminant C diff colitis. AORN J 90 (August 2009) 192–200. © AORN, Inc, 2009. |
| doi_str_mv | 10.1016/j.aorn.2009.04.025 |
| format | Article |
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David</creator><creatorcontrib>Vasaly, Fran White ; Reines, H. David</creatorcontrib><description>ABSTRACT Clostridium difficile ( C diff ) is an anaerobic bacterium that causes antibiotic-associated colitis, which can progress to a life-threatening illness for some patients. Clostridium difficile is highly transmissible in health care settings and has high morbidity and mortality rates. The increased prevalence of this bacterium and the consequences of infection necessitate an understanding of its transmission and use of stringent infection control practices. A two-year retrospective evaluation was performed to examine the effectiveness of a screening tool for patients requiring surgical intervention for C diff and to determine whether treatment was timely and effective. Early, aggressive surgical intervention appears to be the single most effective treatment for fulminant C diff colitis. AORN J 90 (August 2009) 192–200. © AORN, Inc, 2009.</description><identifier>ISSN: 0001-2092</identifier><identifier>EISSN: 1878-0369</identifier><identifier>DOI: 10.1016/j.aorn.2009.04.025</identifier><identifier>PMID: 19736671</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; anaerobic bowel infections ; Anesthesia & Perioperative Care ; Antibiotics ; bowel infections ; C diff ; Clostridium difficile ; Colectomy - nursing ; Colectomy - statistics & numerical data ; Colon ; Diarrhea ; Disease Outbreaks - prevention & control ; Enterocolitis, Pseudomembranous - epidemiology ; Enterocolitis, Pseudomembranous - nursing ; Enterocolitis, Pseudomembranous - prevention & control ; Enterocolitis, Pseudomembranous - surgery ; Humans ; Infection Control - methods ; Infections ; infectious diarrhea ; Inflammatory bowel disease ; Mass Screening - methods ; Mass Screening - nursing ; Middle Aged ; Morbidity ; Mortality ; Nursing ; Nursing Assessment ; Ostomy ; Outcome Assessment (Health Care) ; Pathogens ; Patients ; Perianesthesia ; Perioperative Care - nursing ; Quality improvement ; Retrospective Studies ; Risk Factors ; sepsis ; Sepsis - prevention & control ; Surgery ; Toxins ; Virginia - epidemiology</subject><ispartof>AORN journal, 2009-08, Vol.90 (2), p.192-204</ispartof><rights>AORN, Inc.</rights><rights>2009 AORN, Inc.</rights><rights>2009 AORN, Inc</rights><rights>Copyright © 2009 Association of Operating Room Nurses, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4312-c6ba5185df6fe8a4bd42ac6ab50edbe56e291132fad78f72b468043fa4604d5d3</citedby><cites>FETCH-LOGICAL-c4312-c6ba5185df6fe8a4bd42ac6ab50edbe56e291132fad78f72b468043fa4604d5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.aorn.2009.04.025$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.aorn.2009.04.025$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19736671$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vasaly, Fran White</creatorcontrib><creatorcontrib>Reines, H. David</creatorcontrib><title>A Quality Committee's Evaluation of Surgical Intervention for Clostridium difficile Infection</title><title>AORN journal</title><addtitle>AORN J</addtitle><description>ABSTRACT Clostridium difficile ( C diff ) is an anaerobic bacterium that causes antibiotic-associated colitis, which can progress to a life-threatening illness for some patients. Clostridium difficile is highly transmissible in health care settings and has high morbidity and mortality rates. The increased prevalence of this bacterium and the consequences of infection necessitate an understanding of its transmission and use of stringent infection control practices. A two-year retrospective evaluation was performed to examine the effectiveness of a screening tool for patients requiring surgical intervention for C diff and to determine whether treatment was timely and effective. Early, aggressive surgical intervention appears to be the single most effective treatment for fulminant C diff colitis. AORN J 90 (August 2009) 192–200. © AORN, Inc, 2009.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>anaerobic bowel infections</subject><subject>Anesthesia & Perioperative Care</subject><subject>Antibiotics</subject><subject>bowel infections</subject><subject>C diff</subject><subject>Clostridium difficile</subject><subject>Colectomy - nursing</subject><subject>Colectomy - statistics & numerical data</subject><subject>Colon</subject><subject>Diarrhea</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Enterocolitis, Pseudomembranous - epidemiology</subject><subject>Enterocolitis, Pseudomembranous - nursing</subject><subject>Enterocolitis, Pseudomembranous - prevention & control</subject><subject>Enterocolitis, Pseudomembranous - surgery</subject><subject>Humans</subject><subject>Infection Control - methods</subject><subject>Infections</subject><subject>infectious diarrhea</subject><subject>Inflammatory bowel disease</subject><subject>Mass Screening - methods</subject><subject>Mass Screening - nursing</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Nursing</subject><subject>Nursing Assessment</subject><subject>Ostomy</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Perianesthesia</subject><subject>Perioperative Care - nursing</subject><subject>Quality improvement</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>sepsis</subject><subject>Sepsis - prevention & control</subject><subject>Surgery</subject><subject>Toxins</subject><subject>Virginia - epidemiology</subject><issn>0001-2092</issn><issn>1878-0369</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNklFrFDEQxxdR7LX6BXyQxQf7dOckm80mIMJxtFooFq0-SsgmE8m5u6nJ7sl9e7PeodCH4lMI-f2HzPymKF4QWBEg_M12pUMcVhRAroCtgNaPigURjVhCxeXjYgEAZElB0pPiNKVtvkJF66fFCZFNxXlDFsW3dflp0p0f9-Um9L0fR8TzVF7sdDfp0YehDK68neJ3b3RXXg0jxh0Ofx5ciOWmC2mM3vqpL613zhvfYcYcmpl5Vjxxukv4_HieFV8vL75sPiyvb95fbdbXS8MqQpeGt7omoraOOxSatZZRbbhua0DbYs2RSkIq6rRthGtoy7gAVjnNODBb2-qsOD_UvYvh54RpVL1PBrtODximpBrOKkkF5Zl8_SDJG15JIesMvroHbsMUh9yFEpIRLihtMkQPkIkhpYhO3UXf67hXBNTsSG3V7EjNjhQwlR3l0Mtj5ant0f6LHKVkoDkAv_Iw9_9RUq1vPn8kkubk20MS87B3HqNKxuNg0PqYjSgb_MM_e3cvbjo_zOZ_4B7T3wEQlagCdTvv17xeIAGoELL6DSMSyP0</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Vasaly, Fran White</creator><creator>Reines, H. David</creator><general>Elsevier Inc</general><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>200908</creationdate><title>A Quality Committee's Evaluation of Surgical Intervention for Clostridium difficile Infection</title><author>Vasaly, Fran White ; Reines, H. David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4312-c6ba5185df6fe8a4bd42ac6ab50edbe56e291132fad78f72b468043fa4604d5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>anaerobic bowel infections</topic><topic>Anesthesia & Perioperative Care</topic><topic>Antibiotics</topic><topic>bowel infections</topic><topic>C diff</topic><topic>Clostridium difficile</topic><topic>Colectomy - nursing</topic><topic>Colectomy - statistics & numerical data</topic><topic>Colon</topic><topic>Diarrhea</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Enterocolitis, Pseudomembranous - epidemiology</topic><topic>Enterocolitis, Pseudomembranous - nursing</topic><topic>Enterocolitis, Pseudomembranous - prevention & control</topic><topic>Enterocolitis, Pseudomembranous - surgery</topic><topic>Humans</topic><topic>Infection Control - methods</topic><topic>Infections</topic><topic>infectious diarrhea</topic><topic>Inflammatory bowel disease</topic><topic>Mass Screening - methods</topic><topic>Mass Screening - nursing</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Nursing</topic><topic>Nursing Assessment</topic><topic>Ostomy</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Perianesthesia</topic><topic>Perioperative Care - nursing</topic><topic>Quality improvement</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>sepsis</topic><topic>Sepsis - prevention & control</topic><topic>Surgery</topic><topic>Toxins</topic><topic>Virginia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vasaly, Fran White</creatorcontrib><creatorcontrib>Reines, H. 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David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Quality Committee's Evaluation of Surgical Intervention for Clostridium difficile Infection</atitle><jtitle>AORN journal</jtitle><addtitle>AORN J</addtitle><date>2009-08</date><risdate>2009</risdate><volume>90</volume><issue>2</issue><spage>192</spage><epage>204</epage><pages>192-204</pages><issn>0001-2092</issn><eissn>1878-0369</eissn><abstract>ABSTRACT Clostridium difficile ( C diff ) is an anaerobic bacterium that causes antibiotic-associated colitis, which can progress to a life-threatening illness for some patients. Clostridium difficile is highly transmissible in health care settings and has high morbidity and mortality rates. The increased prevalence of this bacterium and the consequences of infection necessitate an understanding of its transmission and use of stringent infection control practices. A two-year retrospective evaluation was performed to examine the effectiveness of a screening tool for patients requiring surgical intervention for C diff and to determine whether treatment was timely and effective. Early, aggressive surgical intervention appears to be the single most effective treatment for fulminant C diff colitis. AORN J 90 (August 2009) 192–200. © AORN, Inc, 2009.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19736671</pmid><doi>10.1016/j.aorn.2009.04.025</doi><tpages>13</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over anaerobic bowel infections Anesthesia & Perioperative Care Antibiotics bowel infections C diff Clostridium difficile Colectomy - nursing Colectomy - statistics & numerical data Colon Diarrhea Disease Outbreaks - prevention & control Enterocolitis, Pseudomembranous - epidemiology Enterocolitis, Pseudomembranous - nursing Enterocolitis, Pseudomembranous - prevention & control Enterocolitis, Pseudomembranous - surgery Humans Infection Control - methods Infections infectious diarrhea Inflammatory bowel disease Mass Screening - methods Mass Screening - nursing Middle Aged Morbidity Mortality Nursing Nursing Assessment Ostomy Outcome Assessment (Health Care) Pathogens Patients Perianesthesia Perioperative Care - nursing Quality improvement Retrospective Studies Risk Factors sepsis Sepsis - prevention & control Surgery Toxins Virginia - epidemiology |
| title | A Quality Committee's Evaluation of Surgical Intervention for Clostridium difficile Infection |
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