The use of laboratory-identified event surveillance to classify adverse outcomes due to Clostridioides difficile infection in Canadian long-term care facilities.

摘要: Objective Adverse outcomes following Clostridioides difficile infection (CDI) are not often reported for long-term care facility (LTCF) residents. We focused on the adverse due to CDI identified in Alberta LTCFs. Methods All positive stool specimens by laboratory-identified (LabID) event surveillance from 2011 2018, along with Continuing Care Information System, were used define cases classified as onset, hospital and community onset. Laboratory records linked provincial databases analyze acute-care admissions mortality within 30-day post CDI. Age, sex, case classification, episode, operator type, investigated using logistic regression. Results Overall, 902 762 LTCF Of all events, 860 (95.3%) 38 (4.2%) 4 (0.4%) The rate was 2.0 of 100,000 resident days. In total, 157 residents (20.6%) had all-cause mortality, 126 (14.0%) admissions. significantly higher aged >80 versus ≤80 years (24.9 vs 12.3 per 100 residents; P 80 years, hospital-onset CDI, those staying private or voluntary LTCFs more likely have Conclusions prevalence is found be high LabID surveillance. Annual review can minimize burden standardize process across