dc.creator | Alvarez L,Manuel | |
dc.creator | González D,Robinson | |
dc.creator | Briceño L,Isabel | |
dc.creator | Cofre D,Colomba | |
dc.creator | Labarca L,Jaime | |
dc.creator | Vial C,Pablo | |
dc.creator | García C,Patricia | |
dc.date | 2001-06-01 | |
dc.date.accessioned | 2019-11-14T12:52:30Z | |
dc.date.available | 2019-11-14T12:52:30Z | |
dc.identifier | https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000600004 | |
dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/115433 | |
dc.description | Background: The clinical parameters for the suspicion of Clostridium difficile infections, namely the use of antimicrobials and diarrhea, have a low predictive value for the diagnosis. Aim: To search other clinical variables and determine a clinical prediction model for (Clostridium difficile diarrhea. Patients and methods: All patients to whom a Clostridium difficile study was requested, were prospectively studied during 5 months. Clinical variables of these patients were registered. The diagnosis of Clostridium difficile was done using the cytotoxicity test in fibroblast cultures. Results: Ninety two patients were analyzed and in 26, the diagnosis of Clostridium difficile was confirmed. A logistic regression model disclosed an age over 60 years old, the presence of mucus in the stools and a temperature over 37.8 °C in the previous 24 h, as significant predictors of the infection. The correlation of the model, between the predicted probability and the observed condition, was 81.5%. Conclusions: The presence of the clinical variables identified in this study are associated with a high probability of an infection by Clostridium difficile in patients with diarrhea and the recent use of antimicrobials (Rev Méd Chile 2001; 129: 620-625) | |
dc.format | text/html | |
dc.language | es | |
dc.publisher | Sociedad Médica de Santiago | |
dc.relation | 10.4067/S0034-98872001000600004 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.source | Revista médica de Chile v.129 n.6 2001 | |
dc.subject | Clostridium difficile | |
dc.subject | Diarrhea | |
dc.subject | Enterocolitis, pseudomembranous | |
dc.title | Diagnóstico de diarrea por Clostridium difficile: en busca de un enfoque clínico más eficiente | |