Diagnóstico de diarrea por clostridium difficile: en busca de un enfoque clínico más eficiente / Clinical diagnosis of clostridium difficile diarrhea: searching a more efficient clinical view
Rev. méd. Chile
;
129(6): 620-5, jun. 2001. tab
Article
Dans Espagnol
| LILACS
| ID: lil-295390
RESUMO
Background:
The clinical parameters for the suspicion of Clostridium difficile infections, namely the use of antimicrobials and diarrhea, have a low predictive value for the diagnosis.Aim:
To search other clinical variables and determine a clinical prediction model for (Clostridium difficile diarrhea. Patients andmethods:
All patients to whom a Clostridium difficile study was requested, were prospectively studied during 5 months. Clinical variables of these patients were registered. The diagnosis of Clostridium difficile was done using the cytotoxicity test in fibroblast cultures.Results:
Ninety two patients were analyzed and in 26, the diagnosis of Clostridium difficile was confirmed. A logistic regression model disclosed an age over 60 years old, the presence of mucus in the stools and a temperature over 37.8 C in the previous 24 h, as significant predictors of the infection. The correlation of the model, between the predicted probability and the observed condition, was 81.5 per cent.Conclusions:
The presence of the clinical variables identified in this study are associated with a high probability of an infection by Clostridium difficile in patients with diarrhea and the recent use of antimicrobials
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Entérocolite pseudomembraneuse
/
Clostridioides difficile
/
Diarrhée
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2001
Type:
Article
Pays d'affiliation:
Chili
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS