Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica

A Summary Report from the Chilean Society for Infectious Diseases regarding the presence of a Clostridium difficile epidemic with several fatalities in Chile's premier emergency public hospital in Santiago is used to make a scientific historical analysis of the situation. This Summary Report id...

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Autor principal:	Cabello,Felipe
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Chilena de Infectología 2012
Materias:	Clostridium difficile epidemia historia de la medicina Siglo diecinueve
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182012000400021
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spelling	oai:scielo:S0716-101820120004000212013-11-04Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico históricaCabello,Felipe Clostridium difficile epidemia historia de la medicina Siglo diecinueve A Summary Report from the Chilean Society for Infectious Diseases regarding the presence of a Clostridium difficile epidemic with several fatalities in Chile's premier emergency public hospital in Santiago is used to make a scientific historical analysis of the situation. This Summary Report identifies several hygienic and sanitary shortcomings that may have played a role in triggering this major epidemic. These include deficiencies in hand washing policies, overcrowding of beds in wards, relaxation of infection control policies, antimicrobial therapy mismanagement and lack of laboratory support. The relevance of these shortcomings to the epidemic is further supported by the lack of any laboratory evidence for the presence of hypertoxigenic strains of C. difficile. In an era of whole genome sequencing of pathogens to guide therapy, prevention, and epidemiological studies of infectious diseases, it is illuminating and sobering, as this report so clearly demonstrates, to realize that many epidemics of hospital infections still result from breakdowns in classical and ancillary asepsis and infection control measures developed in the nineteenth century by Semmelweis, Nightingale and Lister. As the Summary Report suggests, such hygienic breakdowns in countries like Chile are usually brought about by lack of implementation and regulation of national hospital infection control policies resulting from the shift of economic resources from the public to the private sector, despite the former being responsible for health care of 80% of the population.info:eu-repo/semantics/openAccessSociedad Chilena de InfectologíaRevista chilena de infectología v.29 n.4 20122012-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182012000400021es10.4067/S0716-10182012000400021
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Clostridium difficile epidemia historia de la medicina Siglo diecinueve
spellingShingle	Clostridium difficile epidemia historia de la medicina Siglo diecinueve Cabello,Felipe Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica
description	A Summary Report from the Chilean Society for Infectious Diseases regarding the presence of a Clostridium difficile epidemic with several fatalities in Chile's premier emergency public hospital in Santiago is used to make a scientific historical analysis of the situation. This Summary Report identifies several hygienic and sanitary shortcomings that may have played a role in triggering this major epidemic. These include deficiencies in hand washing policies, overcrowding of beds in wards, relaxation of infection control policies, antimicrobial therapy mismanagement and lack of laboratory support. The relevance of these shortcomings to the epidemic is further supported by the lack of any laboratory evidence for the presence of hypertoxigenic strains of C. difficile. In an era of whole genome sequencing of pathogens to guide therapy, prevention, and epidemiological studies of infectious diseases, it is illuminating and sobering, as this report so clearly demonstrates, to realize that many epidemics of hospital infections still result from breakdowns in classical and ancillary asepsis and infection control measures developed in the nineteenth century by Semmelweis, Nightingale and Lister. As the Summary Report suggests, such hygienic breakdowns in countries like Chile are usually brought about by lack of implementation and regulation of national hospital infection control policies resulting from the shift of economic resources from the public to the private sector, despite the former being responsible for health care of 80% of the population.
author	Cabello,Felipe
author_facet	Cabello,Felipe
author_sort	Cabello,Felipe
title	Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica
title_short	Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica
title_full	Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica
title_fullStr	Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica
title_full_unstemmed	Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica
title_sort	epidemia de clostridium difficile, chile 2012: informe de la sociedad chilena de infectología. una aproximación científico histórica
publisher	Sociedad Chilena de Infectología
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182012000400021
work_keys_str_mv	AT cabellofelipe epidemiadeclostridiumdifficilechile2012informedelasociedadchilenadeinfectologiaunaaproximacioncientificohistorica
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Epidemia de Clostridium difficile, Chile 2012: Informe de la Sociedad Chilena de Infectología. Una aproximación científico histórica

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