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Am J Infect Control. 2018 Jul;46(7):840-842. doi: 10.1016/j.ajic.2017.11.026. Epub 2018 Jan 9.

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

Author information

1
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: ggt4@cdc.gov.
2
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
3
School of Medicine, University of California, San Francisco, San Francisco, CA.
4
Colorado Department of Public Health and Environment, Denver, CO.
5
Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, CT.
6
Department of Medicine, Emory University, Atlanta, GA; Georgia Emerging Infections Program, Decatur, GA; Atlanta Veterans Affairs Medical Center, Atlanta, GA.
7
Maryland Department of Health, Baltimore, MD.
8
Minnesota Department of Health, St Paul, MN; Career Epidemiology Field Officer Program, Centers for Disease Control and Prevention, Atlanta, GA.
9
New Mexico Emerging Infections Program, University of New Mexico, Albuquerque, NM.
10
Oregon Health Authority, Portland, OR.
11
Tennessee Department of Health, Nashville, TN.
12
Stritch School of Medicine, Loyola University Chicago, Maywood, IL; Edward Hines, Jr Veterans Affairs Hospital, Hines, IL.
13
New York Emerging Infections Program and University of Rochester Medical Center, Rochester, NY.

Abstract

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.

KEYWORDS:

Fluoroquinolone; NAP1/027

PMID:
29329918
DOI:
10.1016/j.ajic.2017.11.026

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