Trends in incidence of long-term-care facility onset Clostridium difficile infections in 10 US geographic locations during 2011-2015

Publication date: Available online 9 January 2018
Source:American Journal of Infection Control
Author(s): Alice Y. Guh, Yi Mu, James Baggs, Lisa G. Winston, Wendy Bamberg, Carol Lyons, Monica M. Farley, Lucy E. Wilson, Stacy M. Holzbauer, Erin C. Phipps, Zintars G. Beldavs, Marion A. Kainer, Maria Karlsson, Dale N. Gerding, Ghinwa Dumyati
During 2011-2015, the adjusted long-term-care facility onset Clostridium difficile infection incidence rate in persons aged ≥65 years decreased annually by 17.45% (95% confidence interval, 14.53%-20.43%) across 10 US sites. A concomitant decline in inpatient fluoroquinolone use and the C difficile epidemic strain NAP1/027 among persons aged ≥65 years may have contributed to the decrease in long-term-care facility-onset C difficile infection incidence rate.



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