National Surveillance for Clostridioides difficile Infection, Sweden, 2009–2016

Rizzardi, Kristina; Norén, Torbjörn; Aspevall, Olov; Mäkitalo, Barbro; Toepfer, Michael; Johansson, Åsa; Åkerlund, Thomas

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National Surveillance for Clostridioides difficile Infection, Sweden, 2009–2016

Supporting Files Public Domain

Sep 2018
By Rizzardi, Kristina ; Norén, Torbjörn ; Aspevall, Olov ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Rizzardi, Kristina ; Norén, Torbjörn ; Aspevall, Olov ; Mäkitalo, Barbro ; Toepfer, Michael ; Johansson, Åsa ; Åkerlund, Thomas
Description:

We report results from a national surveillance program for Clostridioides difficile infection (CDI) in Sweden, where CDI incidence decreased by 22% and the proportion of multidrug-resistant isolates decreased by 80% during 2012-2016. Variation in incidence between counties also diminished during this period, which might be attributable to implementation of nucleic acid amplification testing as the primary diagnostic tool for most laboratories. In contrast to other studies, our study did not indicate increased CDI incidence attributable the introduction of nucleic acid amplification testing. Our results also suggest that successful implementation of hygiene measures is the major cause of the observed incidence decrease. Despite substantial reductions in CDI incidence and prevalence of multidrug-resistant isolates, Sweden still has one of the highest CDI incidence levels in Europe. This finding is unexpected and warrants further investigation, given that Sweden has among the lowest levels of antimicrobial drug use.
Subjects:

Antibiotic Resistance Antimicrobial Resistance Bacteria Bacterial Infection CDI Clostridioides Difficile Clostridium Difficile Epidemiology National Surveillance For Clostridioides Difficile Infection, Sweden, 2009–2016 Outbreaks Surveillance Synopsis Typing
Source:

Emerg Infect Dis. 24(9):1617-1625.
Pubmed ID:

30124193
Pubmed Central ID:

PMC6106436
Document Type:

Journal Article
Place as Subject:

Sweden
Location:

Europe
Volume:

24
Issue:

9
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:9509274bdadaa6521eb43d88c5637ffec44186bbd7aaf3d9fee728fbfd53f5e1
Download URL:

https://stacks.cdc.gov/view/cdc/58623/cdc_58623_DS1.pdf
File Type:

[PDF - 2.86 MB ]

File Language:

English

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