2024, Number 5
<< Back Next >>
Acta Med 2024; 22 (5)
Association between appendectomy and Clostridioides difficile infection in patients at Hospital Angeles Pedregal
Merino RJA, Díaz GEJ, Rodríguez WFL
Language: Spanish
References: 10
Page: 361-365
PDF size: 235.67 Kb.
ABSTRACT
The incidence and risk factors of Clostridioides difficile infections have changed in recent decades; in Mexico, there are only a few studies on this. This study aimed to identify a possible association between previous appendectomy and the severity of C. difficile infection, which has been reported with diverse results in other investigations. We use a case-control design, with retrospective data from patients diagnosed with C. difficile over three years examined. Despite the 24% prevalence of previous appendectomy, the analysis did not reveal statistically significant differences in the severity of the infection between patients with and without this surgery. Mortality was 12%; this highlights the importance of effectively managing C. difficile infections. The results suggest that appendectomy is not associated with the severity of the infection, but factors such as oncological diagnosis and previous hospitalization could have greater relevance. In the epidemiological context of C. difficile, this study highlights the importance of effective preventive strategies and continuous improvement in the clinical management of this infection.
REFERENCES
Rodríguez-Pardo D, Mirelis B, Navarro F. Infecciones producidas por Clostridium difficile. Enferm Infecc Microbiol Clin. 2013; 31 (4): 254-263. doi: 10.1016/j.eimc.2012.12.010.
Abreu Y Abreu AT, Velarde-Ruiz Velasco JA, Zavala-Solares MR, Remes-Troche JM, Carmona-Sánchez RI et al. Consensus on the prevention, diagnosis, and treatment of Clostridium difficile infection. Rev Gastroenterol Mex (Engl Ed). 2019; 84 (2): 204-219. doi: 10.1016/j.rgmx.2018.12.001.
Shaikh DH, Patel H, Munshi R, Sun H, Mehershahi S, Baiomi A et al. Patients with Clostridium difficile infection and prior appendectomy may be prone to worse outcomes. World J Gastrointest Surg. 2021; 13 (11): 1436-1447. doi: 10.4240/wjgs.v13.i11.1436.
Ochoa-Hein E, Sifuentes-Osornio J, Ponce de León-Garduño A, Torres-González P, Granados-García V, Galindo-Fraga A. Factors associated with an outbreak of hospital-onset, healthcare facility-associated Clostridium difficile infection (HO-HCFA CDI) in a Mexican tertiary care hospital: A case-control study. PLoS One. 2018; 13 (5): e0198212. doi: 10.1371/journal.pone.0198212.
Liu C, Monaghan T, Yadegar A, Louie T, Kao D. Insights into the evolving epidemiology of Clostridioides difficile infection and treatment: a global perspective. Antibiotics (Basel). 2023; 12 (7): 1141. doi: 10.3390/antibiotics12071141.
Remes-Troche JM. Diarrea asociada con infección por Clostridium difficile, ¿es tiempo de preocuparnos en México? Rev Gastroenterol Mex. 2012; 77 (2): 58-59. doi: 10.1016/j.rgmx.2012.04.003.
Sanders NL, Bollinger RR, Lee R, Thomas S, Parker W. Appendectomy and Clostridium difficile colitis: relationships revealed by clinical observations and immunology. World J Gastroenterol. 2013; 19 (34): 5607-5614. doi: 10.3748/wjg.v19.i34.5607.
Seretis C, Seretis F, Goonetilleke K. Appendicectomy and Clostridium difficile infection: is there a link? J Clin Med Res. 2014; 6 (4): 239-241. doi: 10.14740/jocmr1840w.
Heindl SE, Tsouklidis N. Appendectomy as a potential predisposing factor for the development of recurrent and fulminant Clostridium difficile. Cureus. 2020; 12 (8): e10091. doi: 10.7759/cureus.10091.
Bachour SP, Dalal R, Allegretti JR. The impact of the COVID-19 pandemic on Clostridioides difficile infection and utilization of fecal microbiota transplantation. Therap Adv Gastroenterol. 2023; 16: 17562848231165581. doi: 10.1177/17562848231165581.