Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004

To determine whether the rate of Clostridium difficile–associated disease (CDAD) and CDAD-related deaths were increasing in Finland, we analyzed registry data from 1996 through 2004. We determined the number of hospital discharges that had a diagnosis code specific for CDAD from the International Cl...

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Main Authors: Outi Lyytikäinen, Heli Turunen, Reijo Sund, Marja Rasinperä, Eija Könönen, Petri Ruutu, Ilmo Keskimäki
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2009-05-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/15/5/08-1154_article
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author Outi Lyytikäinen
Heli Turunen
Reijo Sund
Marja Rasinperä
Eija Könönen
Petri Ruutu
Ilmo Keskimäki
author_facet Outi Lyytikäinen
Heli Turunen
Reijo Sund
Marja Rasinperä
Eija Könönen
Petri Ruutu
Ilmo Keskimäki
author_sort Outi Lyytikäinen
collection DOAJ
description To determine whether the rate of Clostridium difficile–associated disease (CDAD) and CDAD-related deaths were increasing in Finland, we analyzed registry data from 1996 through 2004. We determined the number of hospital discharges that had a diagnosis code specific for CDAD from the International Classification of Diseases, 10th revision: “enterocolitis due to Clostridium difficile” (A04.7) and “pseudomembranous enterocolitis associated with antimicrobial therapy” (K52.8), listed as any diagnosis in the National Hospital Discharge Registry. CDAD-related deaths were identified from death certificates. Those discharged with a CDAD diagnosis doubled from 810 (16/100,000 population) in 1996 to 1,787 (34/100,000) in 2004. The increase was most prominent for patients >64 years of age but concerned only those discharged with diagnosis code A04.7. The number of those discharged with diagnosis code K52.8 remained stable. The age-standardized mortality rate associated with CDAD increased from 9/million in 1998 to 17/million in 2004; the increase was limited to persons >64 years of age.
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spelling doaj.art-92146e3bb4cd4216a89d6d9324d3612f2022-12-21T18:33:15ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592009-05-0115576176510.3201/eid1505.081154Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004Outi LyytikäinenHeli TurunenReijo SundMarja RasinperäEija KönönenPetri RuutuIlmo KeskimäkiTo determine whether the rate of Clostridium difficile–associated disease (CDAD) and CDAD-related deaths were increasing in Finland, we analyzed registry data from 1996 through 2004. We determined the number of hospital discharges that had a diagnosis code specific for CDAD from the International Classification of Diseases, 10th revision: “enterocolitis due to Clostridium difficile” (A04.7) and “pseudomembranous enterocolitis associated with antimicrobial therapy” (K52.8), listed as any diagnosis in the National Hospital Discharge Registry. CDAD-related deaths were identified from death certificates. Those discharged with a CDAD diagnosis doubled from 810 (16/100,000 population) in 1996 to 1,787 (34/100,000) in 2004. The increase was most prominent for patients >64 years of age but concerned only those discharged with diagnosis code A04.7. The number of those discharged with diagnosis code K52.8 remained stable. The age-standardized mortality rate associated with CDAD increased from 9/million in 1998 to 17/million in 2004; the increase was limited to persons >64 years of age.https://wwwnc.cdc.gov/eid/article/15/5/08-1154_articleEnteric infectionsbacteriaClostridium difficileepidemiologyincidencemortality
spellingShingle Outi Lyytikäinen
Heli Turunen
Reijo Sund
Marja Rasinperä
Eija Könönen
Petri Ruutu
Ilmo Keskimäki
Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004
Emerging Infectious Diseases
Enteric infections
bacteria
Clostridium difficile
epidemiology
incidence
mortality
title Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004
title_full Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004
title_fullStr Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004
title_full_unstemmed Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004
title_short Hospitalizations and Deaths Associated with Clostridium difficile Infection, Finland, 1996–2004
title_sort hospitalizations and deaths associated with clostridium difficile infection finland 1996 2004
topic Enteric infections
bacteria
Clostridium difficile
epidemiology
incidence
mortality
url https://wwwnc.cdc.gov/eid/article/15/5/08-1154_article
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