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master's thesis
UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA
2022. urn:nbn:hr:184:411390
Orgulan, Ivana
University of Rijeka
Faculty of Health Studies
Department of Midwifery

Cite this document

Orgulan, I. (2022). UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA (Master's thesis). Rijeka: University of Rijeka, Faculty of Health Studies. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:411390

Orgulan, Ivana. "UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA." Master's thesis, University of Rijeka, Faculty of Health Studies, 2022. https://urn.nsk.hr/urn:nbn:hr:184:411390

Orgulan, Ivana. "UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA." Master's thesis, University of Rijeka, Faculty of Health Studies, 2022. https://urn.nsk.hr/urn:nbn:hr:184:411390

Orgulan, I. (2022). 'UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA', Master's thesis, University of Rijeka, Faculty of Health Studies, accessed 14 November 2024, https://urn.nsk.hr/urn:nbn:hr:184:411390

Orgulan I. UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA [Master's thesis]. Rijeka: University of Rijeka, Faculty of Health Studies; 2022 [cited 2024 November 14] Available at: https://urn.nsk.hr/urn:nbn:hr:184:411390

I. Orgulan, "UČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA", Master's thesis, University of Rijeka, Faculty of Health Studies, Rijeka, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:184:411390

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Metadata
TitleUČESTALOST CLOSTRIDIOIDES DIFFICILE BOLNIČKIH INFEKCIJA U PSIHIJATRIJSKIH BOLESNIKA
Title (english)INCIDENCE OF CLOSTRIDIOIDES DIFFICILE NOSOCOMIAL INFECTIONS IN PSYCHIATRIC PATIENTS
AuthorIvana Orgulan
MentorMorana Magaš (mentor)
MentorMaja Abram (komentor)
Committee memberDarinka Vučković (predsjednik povjerenstva)
Committee memberMateja Ožanič (član povjerenstva)
Committee memberMaja Abram (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Health Studies
(Department of Midwifery)
Rijeka
Defense date and country2022-09-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Medical Microbiology
Abstract
Većina rizičnih čimbenika za bolničku infekciju Clostridioides difficile (CDI) veća je u bolesnika hospitaliziranih u psihijatrijskoj ustanovi nego u bolesnika liječenih u drugim vrstama ustanova, ali je broj istraživanja na toj populaciji razmjerno malen. Cilj ovog istraživanja bio je procijeniti učestalost bolničke CDI u bolesnika liječenih u psihijatrijskoj bolnici. Provedena je retrospektivna studija incidencije od 2017. do 2021. godine u Klinici za psihijatriju Sveti Ivan u Zagrebu na populaciji bolesnika hospitaliziranih duže od 48 sati bez simptoma CDI tijekom prva dva dana po prijemu. Prosječna stopa incidencije (SI) za pet godina iznosila je 0,88 na 10.000 bolesničkih dana hospitalizacije (95%-tni interval pouzdanosti, IP 0,70; 1,12). Omjer stopa incidencije (OSI) bio je tijekom 2019. – 2021. statistički značajno veći nego tijekom 2017. – 2018. i nakon prilagodbe za dob i spol bolesnika (OSI = 1,82; 95% IP 1,06; 3,12; p = 0,027). Incidencija je bila veća u žena nego u muškaraca (OSI = 1,97; 95% IP 1,14; 3,38) nakon prilagodbe za dob bolesnika. Incidencija je bila najveća u dobnoj skupini 75 do 84 godina (stopa incidencije = 6,98 (95% IP 5,01; 9,71) u odnosu na mlađe od 64 godine kada su slučajevi CDI otkrivani vrlo rijetko. Najveći broj bolesnika s CDI bio je liječen na odjelima za demencije, palijativu i muškom odjelu za produženo liječenje. Čini se da opća populacija hospitaliziranih psihijatrijskih bolesnika nema rizik za CDI viši od bolesnika u drugim ustanovama, ali radi se o heterogenoj populaciji u kojoj neke skupine bolesnika na određenim odjelima imaju izrazito povišene rizike i zahtijevaju posebnu skrb.
Abstract (english)
Most risk factors for hospital-acquired Clostridioides difficile infection (CDI) are higher in patients hospitalized in psychiatric institutions than in patients treated in other types of institutions, but the number of studies on this population is relatively small. The aim of this study was to assess the frequency of nosocomial CDI in patients treated in a psychiatric hospital. A retrospective incidence study was conducted from 2017 to 2021 at the Sveti Ivan Psychiatry Clinic in Zagreb on the population of patients hospitalized for more than 48 hours without CDI symptoms during the first two days after admission. The average five-year incidence rate (IR) was 0.88 per 10,000 person-days of hospitalization (95% confidence interval, CI 0.70, 1.12). The incidence rate ratio (IRR) was during 2019 - 2021 statistically significantly higher than during 2017 – 2018. even after adjusting for patient age (IRR = 1.82; 95% CI 1.06; 3.12; p = 0.027). Incidence was higher in women then in men (IRR = 1.97; 95% CI 1.14; 3.38) after adjustment for age. Incidence was highest in the age group 75 to 84 years (IR = 6.98 (95% CI 5.01; 9.71) compared to those younger than 64 when CDI cases were detected very rarely. The largest number of patients with CDI were treated in dementia, palliative care and male long-term care units. The general population of hospitalized psychiatric patients does not appear to have a CDI risk higher than in other institutions, but it is a heterogeneous population in which some groups in some departments have extremely high risks and require special care.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:411390
Study programmeTitle: Graduate university study of Nursing: Healthcare Management (Biomedicine and Healthcare; clinical medical sciences)
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-11-04 08:22:40