Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital

Clostridium difficile is the most common cause of hospital acquired infectious diarrhea in the developed world and has re-emerged in recent years with apparent greater morbidity and mortality. Despite this, there is little recent published data from the UK concerning associated mortality. We perform...

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Main Authors: Johannis Andreas Karas, Simon Bradshaw, Wabas Mahmud, David A. Enoch
Format: Article
Language:English
Published: MDPI AG 2010-06-01
Series:Infectious Disease Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/idr/article/view/1824
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author Johannis Andreas Karas
Simon Bradshaw
Wabas Mahmud
David A. Enoch
author_facet Johannis Andreas Karas
Simon Bradshaw
Wabas Mahmud
David A. Enoch
author_sort Johannis Andreas Karas
collection DOAJ
description Clostridium difficile is the most common cause of hospital acquired infectious diarrhea in the developed world and has re-emerged in recent years with apparent greater morbidity and mortality. Despite this, there is little recent published data from the UK concerning associated mortality. We performed a case control study at a UK district general hospital of 66 hospitalized patients over the age of 65 years with C. difficile infection compared to 3-5 controls matched for age, sex and minimum length of stay. We found a significant excess mortality of 11.5% at seven days, 26.2% at 30 days, 38.1% at 90 days and 41.4% at 180 days. C. difficile infection in hospitalized elderly patients may contribute to long-term mortality or be a marker of poor prognosis and cases may require more intensive long-term follow up to improve mortality.
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spelling doaj.art-7c2344fec7ea47c784c480509f16da592022-12-21T20:25:24ZengMDPI AGInfectious Disease Reports2036-74302036-74492010-06-0121e8e810.4081/idr.2010.18241195Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospitalJohannis Andreas Karas0Simon Bradshaw1Wabas Mahmud2David A. Enoch3Health Protection AgencyHinchingbrooke HospitalHinchingbrooke HospitalHealth Protection AgencyClostridium difficile is the most common cause of hospital acquired infectious diarrhea in the developed world and has re-emerged in recent years with apparent greater morbidity and mortality. Despite this, there is little recent published data from the UK concerning associated mortality. We performed a case control study at a UK district general hospital of 66 hospitalized patients over the age of 65 years with C. difficile infection compared to 3-5 controls matched for age, sex and minimum length of stay. We found a significant excess mortality of 11.5% at seven days, 26.2% at 30 days, 38.1% at 90 days and 41.4% at 180 days. C. difficile infection in hospitalized elderly patients may contribute to long-term mortality or be a marker of poor prognosis and cases may require more intensive long-term follow up to improve mortality.http://www.pagepress.org/journals/index.php/idr/article/view/1824Clostridium difficilemortality
spellingShingle Johannis Andreas Karas
Simon Bradshaw
Wabas Mahmud
David A. Enoch
Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital
Infectious Disease Reports
Clostridium difficile
mortality
title Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital
title_full Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital
title_fullStr Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital
title_full_unstemmed Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital
title_short Mortality in hospitalized older adults associated with Clostridium difficile infection at a district hospital
title_sort mortality in hospitalized older adults associated with clostridium difficile infection at a district hospital
topic Clostridium difficile
mortality
url http://www.pagepress.org/journals/index.php/idr/article/view/1824
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