Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities

Nephrologist Transforming Dialysis Safety Committee

doi:10.1016/j.kint.2021.02.028

Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities

Nephrologist Transforming Dialysis Safety Committee

School of Medicine

Research output: Contribution to journal › Comment/debate › peer-review

Abstract

Clostridioides difficile infections (CDIs) cause substantial morbidity and mortality. Patients on maintenance hemodialysis are 2 to 2.5 times more likely to develop CDI, with mortality rates 2-fold higher than the general population. Hospitalizations due to CDI among the maintenance hemodialysis population are high, and the frequency of antibiotic exposures and hospitalizations may contribute to CDI risk. In this report, a panel of experts in clinical nephrology, infectious diseases, and infection prevention provide guidance, based on expert opinion and published literature, aimed at preventing the spread of CDI in outpatient hemodialysis facilities.

Original language	English (US)
Pages (from-to)	1045-1053
Number of pages	9
Journal	Kidney international
Volume	99
Issue number	5
DOIs	https://doi.org/10.1016/j.kint.2021.02.028
State	Published - May 2021

Keywords

Clostridioides difficile
antimicrobials
environment
hemodialysis
infections
transmission

ASJC Scopus subject areas

Nephrology

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10.1016/j.kint.2021.02.028

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title = "Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities",

abstract = "Clostridioides difficile infections (CDIs) cause substantial morbidity and mortality. Patients on maintenance hemodialysis are 2 to 2.5 times more likely to develop CDI, with mortality rates 2-fold higher than the general population. Hospitalizations due to CDI among the maintenance hemodialysis population are high, and the frequency of antibiotic exposures and hospitalizations may contribute to CDI risk. In this report, a panel of experts in clinical nephrology, infectious diseases, and infection prevention provide guidance, based on expert opinion and published literature, aimed at preventing the spread of CDI in outpatient hemodialysis facilities.",

keywords = "Clostridioides difficile, antimicrobials, environment, hemodialysis, infections, transmission",

author = "{Nephrologist Transforming Dialysis Safety Committee} and D'Agata, {Erika M.C.} and Apata, {Ibironke W.} and Stephanie Booth and Boyce, {John M.} and Karen Deaver and Nicole Gualandi and Alicia Neu and Duc Nguyen and Sharon Novosad and Palevsky, {Paul M.} and Darlene Rodgers",

note = "Publisher Copyright: {\textcopyright} 2021 International Society of Nephrology",

year = "2021",

month = may,

doi = "10.1016/j.kint.2021.02.028",

language = "English (US)",

volume = "99",

pages = "1045--1053",

journal = "Kidney international",

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T1 - Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities

AU - Nephrologist Transforming Dialysis Safety Committee

AU - D'Agata, Erika M.C.

AU - Apata, Ibironke W.

AU - Booth, Stephanie

AU - Boyce, John M.

AU - Deaver, Karen

AU - Gualandi, Nicole

AU - Neu, Alicia

AU - Nguyen, Duc

AU - Novosad, Sharon

AU - Palevsky, Paul M.

AU - Rodgers, Darlene

PY - 2021/5

Y1 - 2021/5

N2 - Clostridioides difficile infections (CDIs) cause substantial morbidity and mortality. Patients on maintenance hemodialysis are 2 to 2.5 times more likely to develop CDI, with mortality rates 2-fold higher than the general population. Hospitalizations due to CDI among the maintenance hemodialysis population are high, and the frequency of antibiotic exposures and hospitalizations may contribute to CDI risk. In this report, a panel of experts in clinical nephrology, infectious diseases, and infection prevention provide guidance, based on expert opinion and published literature, aimed at preventing the spread of CDI in outpatient hemodialysis facilities.

AB - Clostridioides difficile infections (CDIs) cause substantial morbidity and mortality. Patients on maintenance hemodialysis are 2 to 2.5 times more likely to develop CDI, with mortality rates 2-fold higher than the general population. Hospitalizations due to CDI among the maintenance hemodialysis population are high, and the frequency of antibiotic exposures and hospitalizations may contribute to CDI risk. In this report, a panel of experts in clinical nephrology, infectious diseases, and infection prevention provide guidance, based on expert opinion and published literature, aimed at preventing the spread of CDI in outpatient hemodialysis facilities.

KW - Clostridioides difficile

KW - antimicrobials

KW - environment

KW - hemodialysis

KW - infections

KW - transmission

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DO - 10.1016/j.kint.2021.02.028

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AN - SCOPUS:85103257737

SN - 0085-2538

VL - 99

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JO - Kidney international

JF - Kidney international

IS - 5

ER -

Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities

Abstract

Keywords

ASJC Scopus subject areas

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