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In Poland, we are dealing with a parallel epidemic of COVID-19 – an epidemic of clostridia – says Dr. Pawisz Grzyszewski, expert of the Supreme Medical Council against COVID-19 in an interview with Interia ZDROWIE. Clostridiosis is a disease of the intestine, which has been known for many years, and is most often manifested in patients who have outlived COVID-19 by about six months. During the epidemic, hospitals are filled with patients with gastrointestinal diseases. There are no official statistics, but Dr. Grzesiowski does not doubt that among the deaths from the Corona virus, there are victims of Clostridium.
Clostridium difficile is caused by Clostridioides, which are Gram-positive anaerobic bacteria that can move around. It is present in the intestines of many organisms without causing any symptoms. The situation changes when we give a broad-spectrum antibiotic, for example, a preparation containing fluoroquinolones, which is used to treat severe bacterial infections.
– Then the Clostridioides difficile bacteria go crazy and produce a toxin that primarily destroys the large intestine, and can sometimes lead to inflammation of the entire gastrointestinal tract – confirms Dr.
As we hear, patients who have contracted COVID-19 have had clostridia in Poland for six months. According to Dr. Grzesiowski is the second pandemic, after COVID-19, that we are currently dealing with.
Dr. Paweł Grzesiowski identifies two main causes of acute clostridia occurring in people who have succumbed to COVID-19. Unfortunately, some doctors contribute to this complication.
– This disease develops most often in a patient who is being treated with antibiotics. Often a patient with COVID-19 receives an antibiotic in the early stages of the disease, which they should not. Bacterial infections can only be fought with antibiotics, and Covid, after all, is a viral disease. The expert stresses that many doctors give antibiotics, although there are no indications of this.
Let’s not forget that coronavirus is also wreaking havoc in the gut. In convalescent cases of clostridia, this significantly worsens the prognosis.
– We have a 50-year-old female patient after contracting MERS, a mild form, whose disease has so damaged the intestines that we are now unable to treat her clostridia. It’s already after another treatment and a relapse – says Dr. Grzesiowski.
Remember that Clostridium also occurs regardless of COVID-19 disease. People between 50 and 60 years of age are more likely to develop this disease. In the era of epidemic, people who have suffered from coronavirus also fall victim to clostridia at a much younger age.
How to recognize clostridia?
Symptoms of clostridia include abdominal pain and severe diarrhea such as cholera. Dr. Grzesiowski says in an interview with Interia ZDROWIE that the patient gives more than a dozen loose stools, often with bleeding from the digestive tract. He points out: – In this case there is no self-treatment. Diarrhea itself, as well as Clostridium, requires absolute medical attention. Unfortunately, in people with clostridia, we have to give the bacteria the targeted antibiotic, even though it is a post-antibiotic disease. After recovery, relapses often occur and it happens that we have to use other, more effective methods, for example, the culture of intestinal microflora. Most often, a patient with clostridia must be treated repeatedly with targeted antibiotics for relapses. Let’s be clear – untreated Clostridium is fatal.
Mortality in the case of clostridia fluctuates at the level of 15%. Almost every sixth patient dies. When COVID-19 is added to that, the prognosis deteriorates dramatically.
Clostridiosis is now considered a real epidemic, says Dr. Grzysiewski. – In Poland, we definitely have deaths from this disease. In theory, his cases should be reported to Sanepid, but there is no systematic monitoring of this problem – so it is difficult to know how many specific cases have been found in people with coronavirus – the expert of the Supreme Medical Council notes.
Isabella Rzebica
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