12 research outputs found

    Pubblica amministrazione e integrazione europea

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    Istituto di Diritto Pubblico - Universita' di FirenzeConsiglio Nazionale delle Ricerche - Biblioteca Centrale -. P.le Aldo Moro, 7, Rome / CNR - Consiglio Nazionale delle RichercheSIGLEITItal

    Le situazioni giuridiche soggettive

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    Il contributo analizza le principali categorie e specie di diritti soggettivi individuali, nonchè i diritti di categoria, diffusi e collettivi. L'analisi ha poi ad oggetto i diritti procedimentali e processuali nei confronti della pubblica amministrazione, individuando al contempo gli obblighi dei cittadini europei e le situazioni giuridiche soggettive dei pubblici poteri della comunità europea. Si giunge per tale via a tracciare il difficile cammino delle situazioni giuridiche soggettive nazionali verso l’integrazione europea

    Le situazioni giuridiche soggettive

    No full text
    Il contributo analizza le principali categorie e specie di diritti soggettivi individuali, nonchè i diritti di categoria, diffusi e collettivi. L'analisi ha poi ad oggetto i diritti procedimentali e processuali nei confronti della pubblica amministrazione, individuando al contempo gli obblighi dei cittadini europei e le situazioni giuridiche soggettive dei pubblici poteri della comunità europea. Si giunge per tale via a tracciare il difficile cammino delle situazioni giuridiche soggettive nazionali verso l’integrazione europea

    Epidemiology and outcome of Clostridium difficile infections in patients hospitalized in Internal Medicine: Findings from the nationwide FADOI-PRACTICE study

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    BACKGROUND: Clostridium difficile (CD) is a leading cause of diarrhoea among hospitalized patients. The objective of this study was to evaluate the rate, the optimal diagnostic work-up, and outcome of CD infections (CDI) in Internal Medicine (IM) wards in Italy. METHODS: PRACTICE is an observational prospective study, involving 40 IM Units and evaluating all consecutive patients hospitalized during a 4-month period. CDI were defined in case of diarrhoea when both enzyme immunoassay for GDH, and test for A/B toxin were positive. Patients with CDI were followed-up for recurrences for 4 weeks after the end of therapy. RESULTS: Among the 10,780 patients observed, 103 (0.96 %) showed CDI, at admission or during hospitalization. A positive history for CD, antibiotics in the previous 4 weeks, recent hospitalization, female gender and age were significantly associated with CDI (multivariable analysis). In-hospital mortality was 16.5 % in CD group vs 6.7 % in No-CD group (p < 0.001), whereas median length of hospital stay was 16 (IQR = 13) vs 8 (IQR = 8) days (p < 0.001) among patients with or without CDI, respectively. Rate of CD recurrences was 14.6 %. As a post-hoc evaluation, 23 out of 34 GDH+/Tox- samples were toxin positive, when analysed by molecular method (a real-time PCR assay). The overall CD incidence rate was 5.3/10,000 patient-days. CONCLUSIONS: Our results confirm the severity of CDI in medical wards, showing high in-hospital mortality, prolonged hospitalization and frequent short-term recurrences. Further, our survey supports a 2-3 step algorithm for CD diagnosis: EIA for detecting GDH, A and B toxin, followed by a molecular method in case of toxin-negative samples
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