Risk Factors for and Estimated Incidence of Community-associated Clostridium difficile Infection, North Carolina, USA1

Kutty, Preeta K.; Woods, Christopher W.; Sena, Arlene C.; Benoit, Stephen R.; Naggie, Susanna; Frederick, Joyce; Evans, Sharon; Engel, Jeffery; McDonald, L. Clifford

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Risk Factors for and Estimated Incidence of Community-associated Clostridium difficile Infection, North Carolina, USA1

Published Date:

Feb 2010

Source:

Emerg Infect Dis. 16(2):198-204.

[PDF - 189.39 KB]

Details:

Personal Authors:

Kutty, Preeta K. ; Woods, Christopher W. ; Sena, Arlene C. ; Benoit, Stephen R. ; Naggie, Susanna ; ... More ▼

Keywords:

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Description:

We determined estimated incidence of and risk factors for community-associated Clostridium difficile infection (CA-CDI) among patients treated at 6 North Carolina hospitals. CA-CDI case-patients were defined as adults (>18 years of age) with a positive stool test result for C. difficile toxin and no hospitalization within the prior 8 weeks. CA-CDI incidence was 21 and 46 per 100,000 person-years in Veterans Affairs (VA) outpatients and Durham County populations, respectively. VA case-patients were more likely than controls to have received antimicrobial drugs (adjusted odds ratio [aOR] 17.8, 95% confidence interval [CI] 6.6-48] and to have had a recent outpatient visit (aOR 5.1, 95% CI 1.5-17.9). County case-patients were more likely than controls to have received antimicrobial drugs (aOR 9.1, 95% CI 2.9-28.9), to have gastroesophageal reflux disease (aOR 11.2, 95% CI 1.9-64.2), and to have cardiac failure (aOR 3.8, 95% CI 1.1-13.7). Risk factors for CA-CDI overlap with those for healthcare-associated infection.

Document Type:

Journal Article

Collection(s):

CDC Public Access
Emerging Infectious Diseases

Supporting Files:

09-0953-F.gif	image/gif
09-0953-F.jpg	image/jpeg
09-0953_appT-s1.pdf	application/pdf
09-0953_finalRCME.nxml	text/plain
license.txt	text/plain

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