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Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA.

Publication ,  Journal Article
Kutty, PK; Woods, CW; Sena, AC; Benoit, SR; Naggie, S; Frederick, J; Evans, S; Engel, J; McDonald, LC
Published in: Emerg Infect Dis
February 2010

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.

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Published In

Emerg Infect Dis

DOI

EISSN

1080-6059

Publication Date

February 2010

Volume

16

Issue

2

Start / End Page

197 / 204

Location

United States

Related Subject Headings

  • Young Adult
  • Veterans
  • Risk Factors
  • Prejudice
  • Odds Ratio
  • North Carolina
  • Middle Aged
  • Microbiology
  • Male
  • Incidence
 

Citation

APA
Chicago
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Kutty, P. K., Woods, C. W., Sena, A. C., Benoit, S. R., Naggie, S., Frederick, J., … McDonald, L. C. (2010). Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA. Emerg Infect Dis, 16(2), 197–204. https://doi.org/10.3201/eid1602.090953
Kutty, Preeta K., Christopher W. Woods, Arlene C. Sena, Stephen R. Benoit, Susanna Naggie, Joyce Frederick, Sharon Evans, Jeffery Engel, and L Clifford McDonald. “Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA.Emerg Infect Dis 16, no. 2 (February 2010): 197–204. https://doi.org/10.3201/eid1602.090953.
Kutty PK, Woods CW, Sena AC, Benoit SR, Naggie S, Frederick J, et al. Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA. Emerg Infect Dis. 2010 Feb;16(2):197–204.
Kutty, Preeta K., et al. “Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA.Emerg Infect Dis, vol. 16, no. 2, Feb. 2010, pp. 197–204. Pubmed, doi:10.3201/eid1602.090953.
Kutty PK, Woods CW, Sena AC, Benoit SR, Naggie S, Frederick J, Evans S, Engel J, McDonald LC. Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA. Emerg Infect Dis. 2010 Feb;16(2):197–204.

Published In

Emerg Infect Dis

DOI

EISSN

1080-6059

Publication Date

February 2010

Volume

16

Issue

2

Start / End Page

197 / 204

Location

United States

Related Subject Headings

  • Young Adult
  • Veterans
  • Risk Factors
  • Prejudice
  • Odds Ratio
  • North Carolina
  • Middle Aged
  • Microbiology
  • Male
  • Incidence