Obolevanje i umiranje od infekcija uzrokovanih bakterijom clostridium difficile na teritoriji Beograda

Abstract

Introduction/Aim: The aim of the study was to show the characteristics of infections caused by the bacteria Clostridium difficile (C. difficile) originating in the territory of Belgrade in the period between 2013 and 2017. Methods: Data for this report was collected from the reports of infectious diseases and hospital infections, as well as surveys of the patients, medical documentation, and from annual reports on the prevention, treatment and elimination of infectious diseases. Results of epidemiological and laboratory testing were also included. Incidence rates, mortality rates and proportions were used in analysis. Results: In the observed 5 year period the incidence rate was between 34.0/100,000 (2013) and 75.1/100,000 (2016). The mortality rate ranged between 1.1/100,000 (2013) and 2.1/100,000 (2016). The highest average incidence rates were observed in the elderly. Most cases of mortality belonged to the age category 70 and more years of age (11.3/100,000) and were the smallest in the age group 30-39 years (0.1/100,000). Infections with C. difficile were most common in the month of March (608 affected, with an incidence rate of 11.3/100,000). In the observed period there were 12 registered epidemics with 51 cases. Conclusion: The effective prevention and control of the C. difficile infection is predicated upon the continuation of active implementation of disease management in accordance with the incidence rate.