Journal of Gastrointestinal & Digestive System
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Emergence of community acquired Clostridium difficile infection: Literature review and the experience of a French hospital
International Conference on Pediatric Gastroenterology and Pediatric Practices
Maja Ogielska, Philippe Lanotte, Cecile Lebrun, Anne Sophie Valentin, Denis Garot, Anne-Charlotte Tellier, Jean Michel Halimi, Philippe Colombat, Laurent Guilleminault, Bertrand Lioger, Helene Vegas, Bertrand De Toffol, Thierry Constans and Louis Bernard
University Hospital of Tours, France Trousseau Hospital, France Bretonneau Hospital, France
Posters & Accepted Abstracts: J Gastrointest Dig Syst
DOI:
Abstract
Background: Clostridium difficile infection (CDI) is a common cause of nosocomial diarrhea. People in the general community are not usually considered to be at risk of CDI. CDI is associated with a high risk of morbidity and mortality. Risk of severity is defined by the Clostridium Severity Index (CSI). Aim: Exploration of the CDI in community population by comparing with health care-acquired infection. Methods: We retrospectively describe 136 adult patients with CDI at the University Hospital of Tours, France between 2008 and 2012. Results: The patients included were 62 men and 74 women. The median age was 64.4 years (range, 18-97). Twenty-six of the 136 (19%) cases were community acquired (CA) and 110 (81%) were health care acquired (HCA). The major risk factors for both groups were: Long-term treatment with proton pump inhibitors (54% of CA, 53% of HCA patients) and antibiotic treatment within the 2.5 months preceding CDI (50% of CA, 91% of HCA). CSI was higher in CA-CDI (1.56) than in HCACDI (1.39). Intensive care was required for 8% of CA and 16.5% of HCA-CDI cases. Conclusions: CDI can cause community acquired diarrhea and such CA-CDI was more severe than HCA-CDI. Prospective studies of CDI involving people from the general community without risk factors are required to confirm this observation.Biography
Email: m.ogielska@chu-tours.fr
