The ribotyping of Clostridioides difficile is one of the basic methods of molecular epidemiology for monitoring the spread of C. difficile infections. In the Czech Republic, this procedure is mainly available in university hospitals. The introduction of ribotyping in a tertiary health care facility such as Liberec Regional Hospital not only increases safety in the facility but also supports regional professional development. In our study, 556 stool samples collected between June 2017 and June 2018 were used for C. difficile infection screening, followed by cultivation, toxinotyping, and ribotyping of positive samples. The toxinotyping of 96 samples revealed that 44.8% of typed strains could produce toxins A and B encoded by tcdA and tcdB, respectively. The ribotyping of the same samples revealed two epidemic peaks, caused by the regionally most prevalent ribotype 176 (n = 30, 31.3). C. difficile infection incidence ranged between 5.5 and 4.2 cases per 10,000 patient-bed days. Molecular diagnostics and molecular epidemiology are the two most developing parts of clinical laboratories. The correct applications of molecular methods help ensure greater safety in hospitals.
- Publikační typ
- abstrakt z konference MeSH
Enterobacterales produkující karbapenemázu (CPE – Carbapenemase-Producing Enterobacterales) představují globální zdravotnický problém. V Evropě dochází zejména v jižních a východních státech ke zvyšování podílu enterobakterií rezistentních vůči karbapenemům. Od roku 2021 roste také v České republice výskyt kmenů s produkcí karbapenemázy, změnila se i struktura zastoupení jednotlivých enzymů, zejména ve prospěch metalobetalaktamázy typu NDM. Tato situace je zřejmě následkem epidemie covid-19 a zhoršenou epidemickou situací ve zdravotnických zařízeních.
Carbapenemase-producing Enterobacterales (CPE) are a global health problem. In Europe, the proportion of carbapenem resistant enterobacteria is increasing, particularly in the southern and eastern countries. Since 2021, there has also been a widespread increase in the occurrence of CPE in the Czech Republic, the structure of carbapenemases has also shifted towards higher proportion of the NDM type. This situation is apparently the result of the COVID-19 epidemic and the worsened epidemic situation in healthcare facilities.
- Publikační typ
- abstrakt z konference MeSH
- MeSH
- bakteriologické techniky MeSH
- řízení kvality MeSH
- testování odbornosti laboratoří * MeSH
- Publikační typ
- tabulky MeSH
- O autorovi
- Schindler, Jiří, 1931- Autorita
