alexa Incidence and risk factors for hospital-acquired Clostridium difficile infection among inpatients in an orthopaedic tertiary care hospital.


Journal of Gastrointestinal & Digestive System

Author(s): Campbell KA, Phillips MS, Stachel A, Bosco JA rd, Mehta SA

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Abstract The aim of this retrospective study was to identify risk factors for hospital-acquired Clostridium difficile infection (HA-CDI) in orthopaedic patients. Thirty-two HA-CDI cases were each matched with two controls. Incidence rate was 0.33 cases per 1000 patient-days. Univariate analyses showed that surgery >24 h after admission, antibiotics for treatment, and proton pump inhibitors were associated with HA-CDI. Multivariate analyses revealed that surgery >24 h after admission was associated with HA-CDI. Patients hospitalized before surgery had a greater risk of HA-CDI, suggesting opportunities to reduce environmental exposure to C. difficile by timelier preoperative medical optimization in the outpatient setting. Copyright © 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved. This article was published in J Hosp Infect and referenced in Journal of Gastrointestinal & Digestive System

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