MITÁŠ, Ladislav, Tomáš SKŘIČKA, Zdeněk KALA, Pavel POLÁK, Igor PENKA, Markéta HANSLIÁNOVÁ and Beáta HEMMELOVÁ. Clostridium difficile colitis - a role of surgery. Acta Medica Medianae. Niš: Podružnica Srpskog lekarskog društva, 2015, vol. 54, No 1, p. 75-80. ISSN 0365-4478. Available from: https://dx.doi.org/10.5633/amm.2015.0113.
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Basic information
Original name Clostridium difficile colitis - a role of surgery
Authors MITÁŠ, Ladislav (203 Czech Republic, guarantor, belonging to the institution), Tomáš SKŘIČKA (203 Czech Republic, belonging to the institution), Zdeněk KALA (203 Czech Republic, belonging to the institution), Pavel POLÁK (203 Czech Republic, belonging to the institution), Igor PENKA (203 Czech Republic, belonging to the institution), Markéta HANSLIÁNOVÁ (203 Czech Republic) and Beáta HEMMELOVÁ (203 Czech Republic).
Edition Acta Medica Medianae, Niš, Podružnica Srpskog lekarskog društva, 2015, 0365-4478.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Serbia
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/15:00083200
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5633/amm.2015.0113
Keywords in English Clostridium difficile colitis; toxic colitis; surgery
Tags EL OK
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 24/6/2015 16:29.
Abstract
Clostridium difficile infection (CDI) is the most frequent cause of nococomial diarrhoea. Most cases are succesfully treated by antibiotic therapy, but nearly 10% may progress to the fulminant form. The aim of this work is a retrospective evaluation of the results of surgical treatment of patients with the severe Costridium colitis, in the period 2008-2014. Clostridium toxins were detected in patients in Bohunice University Hospital in 1956. Thirty seven of them underwent surgery due to toxic colitis. There were 6 total colectomies with terminal ileostomy, 29 subtotal colectomies with terminal ileostomy, 1 coecostomy and 1 axial ileostomy. The 30-day mortality was nearly 35 %, 90- day mortality 54% and morbidity 89%. Early and precise indication for surgery could save about 65% of patients with fulminant course of Clostridium difficile colitis.
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