Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-28T14:52:24.816Z Has data issue: false hasContentIssue false
  • English
  • Français

Complications of Hospital-Onset Healthcare Facility–Associated Clostridium difficile Infections Among Veterans

Published online by Cambridge University Press:  16 February 2016

Martin E. Evans ,
Stephen M. Kralovic ,
Loretta A. Simbartl ,
Judith L. Whitlock ,
Rajiv Jain  and
Gary A. Roselle
Martin E. Evans*
Affiliation:
MRSA/MDRO Prevention Office, National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC Lexington Veterans Affairs Medical Center, Lexington, Kentucky Division of Infectious Diseases, Department of Internal Medicine, University of Kentucky School of Medicine, Lexington, Kentucky
Stephen M. Kralovic
Affiliation:
National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
Loretta A. Simbartl
Affiliation:
National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC
Judith L. Whitlock
Affiliation:
MRSA/MDRO Prevention Office, National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC
Rajiv Jain
Affiliation:
Patient Care Services, Veterans Health Administration, Washington, DC.
Gary A. Roselle
Affiliation:
National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
*
Address correspondence to Martin E. Evans, MD, Rm B415, 1101 Veterans Dr, Lexington, KY 40502 (martin.evans@va.gov).
Get access Rights & Permissions [Opens in a new window]

Abstract

Complications within 30 days of a clinically confirmed hospital-onset Clostridium difficile infection diagnosis from July 1, 2012, through June 30, 2015, in 127 acute care Veterans Health Administration facilities were evaluated. Pooled rates for attributable intensive care unit admissions, colectomies, and deaths were 2.7%, 0.5%, and 0.4%, respectively.

Infect Control Hosp Epidemiol 2016;37:717–719

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 6 , June 2016 , pp. 717 - 719
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Gravel, D, Miller, M, Simor, A, et al. Health care–associated Clostridium difficile infection in adults admitted to acute care hospitals in Canada: a Canadian Nosocomial Infection Surveillance Program study. Clin Infect Dis 2009;48:568–576.Google Scholar
2. Walker, AS, Eyre, DW, Wyllie, DH, et al. Relationship between bacterial strain type, host biomarkers, and mortality in Clostridium difficile infection. Clin Infect Dis 2013;56:1589–1600.Google Scholar
3. See, I, Mu, Y, Cohen, J, et al. NAP1 strain type predicts outcomes from Clostridium difficile infection. Clin Infect Dis 2014;58:1394–1400.Google Scholar
4. Bauer, MP, Notermans, DW, van Benthem, BH, et al. Clostridium difficile infection in Europe: a hospital-based survey. Lancet 2011;377:63–73.Google Scholar
5. Evans, ME, Simbartl, LA, Kralovic, SM, Jain, R, Roselle, GA. Clostridium difficile infections in Veterans Health Administration acute care facilities. Infect Control Hosp Epidemiol 2014;35:1037–1042.Google Scholar
6. Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31:431–455.Google Scholar
7. Planche, TD, Davies, KA, Coen, PG, et al. Differences in outcome according to Clostridium difficile testing method: a prospective multicentre diagnostic validation study of C. difficile infection. Lancet Infect Dis 2013;13:936–945.CrossRefGoogle Scholar
8. Gilca, R, Frenette, C, Theriault, N, Fortin, E, Villeneuve, J. Attributing cause of death for patients with Clostridium difficile infection. Emerg Infect Dis 2012;18:1707–1708.Google Scholar
9. Lessa, FC, Mu, Y, Bamberg, WM, et al. Burden of Clostridium difficile infection in the United States. N Engl J Med 2015;372:825–834.CrossRefGoogle ScholarPubMed