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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Main Authors: Ghinwa Dumyati, Vanessa Stevens, George E. Hannett, Angela D. Thompson, Cherie Long, Duncan MacCannell, Brandi Limbago
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2012-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/18/3/10-2023_article
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spelling 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
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