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[Co-infection of SARS-CoV-2 and Clostridioides difficile in elderly patients treated in a neurosurgery postoperative
Csaba Zsolt Oláh1,2, Judit Czakó1, Zoltán Attila Godó2,3
11 Borsod-Abaúj-Zemplén Vármegyei Központi Kórház és Egyetemi Oktatókórház Miskolc, Szentpéteri kapu 72-76., 3526 Magyarország.
Abstract:
During the COVID–19 pandemic, opposite results have been reported regarding the incidence of Clostridioides difficile infection: many studies show an increase, while others a decrease. At the peak of the second wave of COVID–19-pandemic, we treated 11 patients requiring intensive care in our neurosurgery postoperative ward. 7 out of 11 patients tested positive for SARS-CoV-2 and 4 of them even developed C. difficile infection. Out of 4, 2 patients died. Wide-spectrum systemic antibiotics used in the treatment of COVID–19 may increase the risk of C. difficile infection. The development of nosocomial C. difficile can be mitigated by well-thought-out infection control, proper hygiene, regular use of soap beside alcoholic hand sanitizers and strict control of the use of antibiotics. Orv Hetil. 2024; 165(12): 464–469.
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