• Colorectal Dis · Mar 2011

    Is Clostridium difficile infection a particular problem after reversal of ileostomy?

    • J K Randall, B C Young, G Patel, A Fitzgerald, and B D George.
    • Department of Colorectal Surgery, John Radcliffe Hospital, Oxford, UK. jon_randall25@hotmail.com
    • Colorectal Dis. 2011 Mar 1; 13 (3): 308-11.

    AimClostridium difficile infection (CDI) is a cause of morbidity and mortality in hospitals. Various independent risk factors have been identified, including age and antibiotic exposure. This study attempted to determine whether surgery and associated antibiotic use influence the development of CDI.MethodA retrospective review of all patients with a diagnosis of CDI diagnosed during admission to a colorectal unit was conducted over a 20-month period. Patient records were cross-referenced with a microbiology database to identify previous episodes of infection and cases of recurrence.ResultsThere were 38 CDI episodes in 29 patients, including nine with recurrence. In 33, the use of antibiotics prior to the onset of CDI was documented, but in 14 (37%) patients this was limited to perioperative prophylaxis. The incidence of CDI after various procedures was as follows: ileostomy closure (4.2%), right hemicolectomy (2.1%) and anterior resection (1%).ConclusionIleostomy closure may carry a higher risk of CDI.© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.

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