Heimann, S. M., Aguilar, M. R. Cruz, Mellinghof, S. and Vehreschild, M. J. G. T. (2018). Economic burden and cost-effective management of Clostridium difficile infections. Med. Mal. Infect., 48 (1). S. 23 - 30. ISSY-LES-MOULINEAUX: ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER. ISSN 0399-077X

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Abstract

Clostridium difficile infection (CDI) is the most important cause of healthcare-associated infectious diarrhea in industrialized countries. We performed a literature review of the overall economic burden of initial and recurrent CDI as well as of the cost-effectiveness of the various treatment strategies applied in these settings. Even though analysis of health economic data is complicated by the limited comparability of results, our review identified several internationally consistent results. Authors from different countries have shown that recurrent CDI disproportionally contributes to the overall economic burden of CDI and therefore offers considerable saving potential. Subsequent cost-effectiveness analyses almost exclusively identified fidaxomicin as the preferred treatment option for initial CDI and fecal microbiota transplant (FMT) for recurrent CDI. Among the various FMT protocols, optimum results were obtained using early colonoscopy-based FMT. (C) 2017 Elsevier Masson SAS. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Heimann, S. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aguilar, M. R. CruzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mellinghof, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vehreschild, M. J. G. T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-196591
DOI: 10.1016/j.medmal.2017.10.010
Journal or Publication Title: Med. Mal. Infect.
Volume: 48
Number: 1
Page Range: S. 23 - 30
Date: 2018
Publisher: ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
Place of Publication: ISSY-LES-MOULINEAUX
ISSN: 0399-077X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
FECAL MICROBIOTA TRANSPLANTATION; HOSPITALIZED-PATIENTS; FIDAXOMICIN; VANCOMYCIN; DIARRHEA; CONSEQUENCES; MULTICENTER; IMPACT; CDIMultiple languages
Infectious DiseasesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/19659

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