RESUMO
Objective To evaluate the effect of the clinical pathway on advanced schistosomiasis patients with acites. Meth?ods According to the Handbook of Schistosomiasis Control and the Clinical Pathway on Advanced Schistosomiasis in Hubei Province the therapeutic effects disease awareness and the satisfaction of patients of 220 advanced schistosomiasis patients ascitic type who were treated by the traditional pathway in 2013 and 220 patients who treated by the clinical pathway in 2014 respectively were evaluated and compared with the statistical method. Results As the outcomes of the patients had no signifi?cant difference between the traditional pathway therapy and the clinical pathway therapy the average hospitalization days and medical expense were reduced when the patients were treated by the clinical pathway. The average hospitalization days were re?duced to 12 days from 14 days. The average medical expense was reduced to RMB 5 800 form RMB 6 400. The average rate of awareness about the disease and the satisfaction rate of the patients were raised to 95% in the patients treated by the clinical pathway. The results of t test for the three indicators above mentioned showed significant differences between the two therapies all P<0.05 . Conclusion The clinical pathway can standardize the medical behavior and avoid the waste of medical resourc?es so as to improve the treatment of advanced schistosomiasis.
RESUMO
Antibiotic associated colitis due to Clostridium difficile is a common infection associated with significant morbidity. In severe cases, Pseudomembranous colitis (PMC) may be associated with intraperitoneal fluid accumulation. Howwver, the characteristics of the liquid are seldom described. This case report describes PMC patients who were presented with low serum-ascites albumin gradients (SAAG)and neutrocytic ascites, without evidence of infectious, malignant, or inflammatory peritoneal disease. The characteristics of their fluid specimens and the possible pathogenic mechanisms are discussed. These findings suggest that PMC without bowel perforation or spontaneous bacterial peritonitis.