Clostridium difficile colitis - a role of surgery

J 2015

Clostridium difficile colitis - a role of surgery

MITÁŠ, Ladislav, Tomáš SKŘIČKA, Zdeněk KALA, Pavel POLÁK, Igor PENKA et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Serbia

Confidentiality degree

není předmětem státního či obchodního tajemství

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

Abstract

V originále

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.

Citovat

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.

@article{1301506,
   author = {Mitáš, Ladislav and Skřička, Tomáš and Kala, Zdeněk and Polák, Pavel and Penka, Igor and Hansliánová, Markéta and Hemmelová, Beáta},
   article_location = {Niš},
   article_number = {1},
   doi = {http://dx.doi.org/10.5633/amm.2015.0113},
   keywords = {Clostridium difficile colitis; toxic colitis; surgery},
   language = {eng},
   issn = {0365-4478},
   journal = {Acta Medica Medianae},
   title = {Clostridium difficile colitis - a role of surgery},
   volume = {54},
   year = {2015}
}

TY  - JOUR
ID  - 1301506
AU  - Mitáš, Ladislav - Skřička, Tomáš - Kala, Zdeněk - Polák, Pavel - Penka, Igor - Hansliánová, Markéta - Hemmelová, Beáta
PY  - 2015
TI  - Clostridium difficile colitis - a role of surgery
JF  - Acta Medica Medianae
VL  - 54
IS  - 1
SP  - 75-80
EP  - 75-80
PB  - Podružnica Srpskog lekarskog društva
SN  - 03654478
KW  - Clostridium difficile colitis
KW  - toxic colitis
KW  - surgery
N2  - 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.
ER  -

MITÁŠ, Ladislav, Tomáš SKŘIČKA, Zdeněk KALA, Pavel POLÁK, Igor PENKA, Markéta HANSLIÁNOVÁ and Beáta HEMMELOVÁ. Clostridium difficile colitis - a role of surgery. \textit{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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