Related risk factors to clostridium difficile in children and adult with heart diseases, hospitalized in a high specialty institution

Abstract

Introduction: clostridium difficile associated diarrhea (CDAD) is a hospital acquired infection, almost always is very difficult its control, that increased morbidity and mortality during inpatient hospitalization.

Objective: describe de risk factor for CDAD in children and adult with heart diseases, hospitalized in high specialty institution.

Materials and Methods: retrospective, transverse, observational study, convenience sampling n=64, including patients with CDAD identified from January 2012 to June 2016, with three or more loose or liquid stools per day, that not has had diarrhea before the hospitalization, that no has had positive stool with Clostridium Difficile cytotoxin positive. Collected data with set up specifically card in two parts, demographic data and risk factors: open answer level, analysis of data with statistics descriptive and U de Mann-Whitnney and x2 test; statistics significance p<0.05.

Results: prevalence: 57.8% were male, 50% were children, with an average age of 30 years, and the median 30 days in hospital before the first CDAD, the treatment in 71.8% of patients with cardiac surgery was with third generation cephalosporins, 45.3% with gavage using a stomach tube. The control measures were: isolation by contact to hospital discharge, strengthen wash hands with soap and water, proper cleansing and disinfection for equipment and control of antimicrobial resistance.

Conclusion: the CDAD can be controlled with strengthen the requirements established, isn’t necessary implementing new and expensive technology.