Burden of Clostridium difficile infection in long-term care facilities in Monroe County, New York.

摘要: Background.Long-term care facility (LTCF) residents are at increased risk of Clostridium difficile infection (CDI). However, little is known about the incidence, recurrence, and severity CDI in LTCFs or extent to which acute exposure contributes LTCFs. We describe epidemiology a cohort LTCF Monroe County, New York, where recent estimates suggest incidence hospitals 9.2 cases per 10,000 patient-days.Design.Population-based surveillance study.Setting.Monroe York.Patients.LTCF with onset while less than 4 calendar-days after hospital admission from January 1 through December 31, 2010.Methods.We conducted for 33 A case was defined as stool specimen positive C. obtained patient without difficile-positive previous 8 weeks; recurrence between 2 weeks last specimen.Results.There were 425 LTCF-onset 184 recurrences, yielded an 2.3 resident-days (interquartile range [IQR], 1.2–3.3) rate 1.0 (IQR, 0.3–1.4). The occurred 394 residents, 52% these developed within discharge. Hospitalization 70 (16%). Of those that involved hospitalization CDI, 70% severe 23% ended death 30 days admission.Conclusion.CDI County one-fourth among hospitalized patients. Approximately 50% more discharge, emphasizes prevention transmission should go beyond settings.