Community-associated Clostridium difficile Infections, Monroe County, New York, USA
We conducted active sentinel surveillance in Monroe County, New York, USA, to compare incidence of community-associated Clostridium difficile infections (CA-CDIs) with that of health care–associated infections (HA-CDIs) and identify exposure and strain type differences between CA and HA cases. Patie...
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Online Access: | https://wwwnc.cdc.gov/eid/article/18/3/10-2023_article |
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doaj-0ea15c77089643e79d411f064d426f152020-11-24T22:16:19ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592012-03-0118339240010.3201/eid1803.102023Community-associated Clostridium difficile Infections, Monroe County, New York, USAGhinwa DumyatiVanessa StevensGeorge E. HannettAngela D. ThompsonCherie LongDuncan MacCannellBrandi LimbagoWe conducted active sentinel surveillance in Monroe County, New York, USA, to compare incidence of community-associated Clostridium difficile infections (CA-CDIs) with that of health care–associated infections (HA-CDIs) and identify exposure and strain type differences between CA and HA cases. Patients positive for C. difficile toxin and with no documented health care exposure in the previous 12 weeks were defined as possible CA case-patients. Patients with onset in a health care setting or recent health care exposure were defined as HA case-patients. Eighteen percent of CDIs were CA; 76% were in persons who reported antimicrobial drug use in the 12 weeks before CDI diagnosis. Strain type distribution was similar between CA and HA cases; North American pulsed-field 1 was the primary strain (31% CA, 42% HA; p = 0.34). CA-CDI is an emergent disease affecting patients recently exposed to antimicrobial drugs. Community strains are similar to those found in health care settings.https://wwwnc.cdc.gov/eid/article/18/3/10-2023_articleClostridium difficilebacteriacommunity-associated infectionshealth care–associated infectionsstrain typingantimicrobial drug resistance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ghinwa Dumyati Vanessa Stevens George E. Hannett Angela D. Thompson Cherie Long Duncan MacCannell Brandi Limbago |
spellingShingle |
Ghinwa Dumyati Vanessa Stevens George E. Hannett Angela D. Thompson Cherie Long Duncan MacCannell Brandi Limbago Community-associated Clostridium difficile Infections, Monroe County, New York, USA Emerging Infectious Diseases Clostridium difficile bacteria community-associated infections health care–associated infections strain typing antimicrobial drug resistance |
author_facet |
Ghinwa Dumyati Vanessa Stevens George E. Hannett Angela D. Thompson Cherie Long Duncan MacCannell Brandi Limbago |
author_sort |
Ghinwa Dumyati |
title |
Community-associated Clostridium difficile Infections, Monroe County, New York, USA |
title_short |
Community-associated Clostridium difficile Infections, Monroe County, New York, USA |
title_full |
Community-associated Clostridium difficile Infections, Monroe County, New York, USA |
title_fullStr |
Community-associated Clostridium difficile Infections, Monroe County, New York, USA |
title_full_unstemmed |
Community-associated Clostridium difficile Infections, Monroe County, New York, USA |
title_sort |
community-associated clostridium difficile infections, monroe county, new york, usa |
publisher |
Centers for Disease Control and Prevention |
series |
Emerging Infectious Diseases |
issn |
1080-6040 1080-6059 |
publishDate |
2012-03-01 |
description |
We conducted active sentinel surveillance in Monroe County, New York, USA, to compare incidence of community-associated Clostridium difficile infections (CA-CDIs) with that of health care–associated infections (HA-CDIs) and identify exposure and strain type differences between CA and HA cases. Patients positive for C. difficile toxin and with no documented health care exposure in the previous 12 weeks were defined as possible CA case-patients. Patients with onset in a health care setting or recent health care exposure were defined as HA case-patients. Eighteen percent of CDIs were CA; 76% were in persons who reported antimicrobial drug use in the 12 weeks before CDI diagnosis. Strain type distribution was similar between CA and HA cases; North American pulsed-field 1 was the primary strain (31% CA, 42% HA; p = 0.34). CA-CDI is an emergent disease affecting patients recently exposed to antimicrobial drugs. Community strains are similar to those found in health care settings. |
topic |
Clostridium difficile bacteria community-associated infections health care–associated infections strain typing antimicrobial drug resistance |
url |
https://wwwnc.cdc.gov/eid/article/18/3/10-2023_article |
work_keys_str_mv |
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