BB-rel@ldeleger:BB-rel-20950772 JSONTXT

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bionlp-ost-19-BB-rel-test

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Id Subject Object Predicate Lexical cue
T8 141-151 Habitat denotes nosocomial
T9 252-260 Habitat denotes patients
T1 0-76 Title denotes Outcomes of emergency colectomy for fulminant Clostridium difficile colitis.
T6 46-67 Microorganism denotes Clostridium difficile
T2 77-508 Paragraph denotes Clostridium difficile has become increasingly a common cause of nosocomial infection with increasing antibiotic usage. Recently there has been an increase in the incidence of patients undergoing colectomy for fulminant C. difficile colitis (FCDC). Early surgical consultation is necessary to avoid delay in diagnosis. We present a retrospective review of the outcomes of colectomies for FCDC at our large district general hospital.
T7 77-98 Microorganism denotes Clostridium difficile
T10 296-308 Microorganism denotes C. difficile
T11 476-507 Habitat denotes large district general hospital
T3 509-847 Paragraph denotes Over a twenty one month period, from January 2007 to September 2009, a total number of 20 patients underwent exploratory laparotomy for FCDC. A retrospective analysis of patients' case notes, was carried out retrieving all relevant. Data on haematology, biochemistry and imaging were extracted from the trust's on-line clinical databases.
T12 599-607 Habitat denotes patients
T13 679-687 Habitat denotes patients
T4 848-1383 Paragraph denotes A total number of 528 diagnosed cases with C. difficile infection were identified. Of these, twenty patients underwent colectomy for FCDC (3.7%). All patients had received antibiotics prior to symptoms development. 45% of patients had multiple antibiotics. 35% of patients developed FCDC after having three doses of prophylactic antibiotic (Cefuroxime) for a surgical procedure. Time from referral to having surgery varied. Seventeen patients received subtotal colectomy and end ileostomy in a single operation. Mortality rate was 40%.
T14 891-903 Microorganism denotes C. difficile
T15 948-956 Habitat denotes patients
T16 998-1006 Habitat denotes patients
T17 1070-1078 Habitat denotes patients
T18 1112-1120 Habitat denotes patients
T19 1282-1290 Habitat denotes patients
T5 1384-1698 Paragraph denotes Emergency colectomy for FCDC is associated with high mortality rate. The majority of patients who have significant co-morbidities (75%) did not survive following emergency colectomy. Therefore, it is crucial to identify those patients early in their disease course before they progress into FCDC and organ failure.
T20 1469-1477 Habitat denotes patients
T21 1610-1618 Habitat denotes patients
T22 1684-1689 Habitat denotes organ