Outbreak of Clostridioides difficile infection in Silesian district hospital

INTRODUCTION: In order to evaluate a Clostridioides difficile infection (CDI) outbreak between December 2018 and February 2019 in the internal medicine ward of a district hospital in Silesia, 6 stools from 5 patients were examined. MATERIAL AND METHODS: C. difficile was identified, genes encoding gl...

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Main Authors: Klaudia T. Szarek, Monika A. Kabała, Krzysztof Sacha, Franciszek Drzymała, Adam Borek, Monika Pomorska-Wesołowska, Małgorzata Aptekorz, Gayane Martirosian
Format: Article
Language:English
Published: Śląski Uniwersytet Medyczny w Katowicach 2023-06-01
Series:Annales Academiae Medicae Silesiensis
Subjects:
Online Access:https://annales.sum.edu.pl/Outbreak-of-Clostridioides-difficile-infection-in-Silesian-district-hospital,158921,0,2.html
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author Klaudia T. Szarek
Monika A. Kabała
Krzysztof Sacha
Franciszek Drzymała
Adam Borek
Monika Pomorska-Wesołowska
Małgorzata Aptekorz
Gayane Martirosian
author_facet Klaudia T. Szarek
Monika A. Kabała
Krzysztof Sacha
Franciszek Drzymała
Adam Borek
Monika Pomorska-Wesołowska
Małgorzata Aptekorz
Gayane Martirosian
author_sort Klaudia T. Szarek
collection DOAJ
description INTRODUCTION: In order to evaluate a Clostridioides difficile infection (CDI) outbreak between December 2018 and February 2019 in the internal medicine ward of a district hospital in Silesia, 6 stools from 5 patients were examined. MATERIAL AND METHODS: C. difficile was identified, genes encoding glutamate dehydrogenase (GDH) – gluD, A/B – tcdA/tcdB and binary – cdtA/cdtB toxins, ermB were determined by mPCR and antibiotic resistance by means of E-Tests. RESULTS: Women predominated among the patients (4/5). All the 6 C. difficile isolates belonged to hyperepidemic ribotype 027, were positive for all genes and were resistant to moxifloxacin, erythromycin, clindamycin, rifampicin, imipenem, and chloramphenicol. CONCLUSIONS: The obtained results indicate that the hyperepidemic C. difficile clone is spreading in the ward.
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spelling doaj.art-73075992b96a46b093849c14f6b048bb2023-06-22T09:09:53ZengŚląski Uniwersytet Medyczny w KatowicachAnnales Academiae Medicae Silesiensis1734-025X2023-06-0177758110.18794/aams/158921Outbreak of Clostridioides difficile infection in Silesian district hospitalKlaudia T. Szarek0Monika A. Kabała1https://orcid.org/0000-0003-4234-586XKrzysztof Sacha2https://orcid.org/0000-0001-7591-1253Franciszek Drzymała3Adam Borek4Monika Pomorska-Wesołowska5https://orcid.org/0000-0002-8954-288XMałgorzata Aptekorz6https://orcid.org/0000-0002-7343-4702Gayane Martirosian7https://orcid.org/0000-0002-0311-0884Department of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Katedra i Zakład Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachDepartment of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Katedra i Zakład Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachDepartment of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Katedra i Zakład Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachStudent Research Group, Department of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Studenckie Koło Naukowe przy Katedrze i Zakładzie Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachStudent Research Group, Department of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Studenckie Koło Naukowe przy Katedrze i Zakładzie Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachDepartment of Microbiology, KORLAB Medical Laboratory, Ruda Śląska, Poland / Pracownia Mikrobiologii, KORLAB Laboratoria Medyczne, Ruda ŚląskaDepartment of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Katedra i Zakład Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachDepartment of Medical Microbiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Katedra i Zakład Mikrobiologii Lekarskiej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w KatowicachINTRODUCTION: In order to evaluate a Clostridioides difficile infection (CDI) outbreak between December 2018 and February 2019 in the internal medicine ward of a district hospital in Silesia, 6 stools from 5 patients were examined. MATERIAL AND METHODS: C. difficile was identified, genes encoding glutamate dehydrogenase (GDH) – gluD, A/B – tcdA/tcdB and binary – cdtA/cdtB toxins, ermB were determined by mPCR and antibiotic resistance by means of E-Tests. RESULTS: Women predominated among the patients (4/5). All the 6 C. difficile isolates belonged to hyperepidemic ribotype 027, were positive for all genes and were resistant to moxifloxacin, erythromycin, clindamycin, rifampicin, imipenem, and chloramphenicol. CONCLUSIONS: The obtained results indicate that the hyperepidemic C. difficile clone is spreading in the ward.https://annales.sum.edu.pl/Outbreak-of-Clostridioides-difficile-infection-in-Silesian-district-hospital,158921,0,2.htmlclostridioides difficile infectionoutbreakclostridioides difficile toxins
spellingShingle Klaudia T. Szarek
Monika A. Kabała
Krzysztof Sacha
Franciszek Drzymała
Adam Borek
Monika Pomorska-Wesołowska
Małgorzata Aptekorz
Gayane Martirosian
Outbreak of Clostridioides difficile infection in Silesian district hospital
Annales Academiae Medicae Silesiensis
clostridioides difficile infection
outbreak
clostridioides difficile toxins
title Outbreak of Clostridioides difficile infection in Silesian district hospital
title_full Outbreak of Clostridioides difficile infection in Silesian district hospital
title_fullStr Outbreak of Clostridioides difficile infection in Silesian district hospital
title_full_unstemmed Outbreak of Clostridioides difficile infection in Silesian district hospital
title_short Outbreak of Clostridioides difficile infection in Silesian district hospital
title_sort outbreak of clostridioides difficile infection in silesian district hospital
topic clostridioides difficile infection
outbreak
clostridioides difficile toxins
url https://annales.sum.edu.pl/Outbreak-of-Clostridioides-difficile-infection-in-Silesian-district-hospital,158921,0,2.html
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