Incidence and Risk Factors of Clostridium difficile Infection Among Adult Patients Admitted to the Inpatient Department of a Tertiary Care Hospital: A Hospital-Based Observational Study
2024

Clostridium difficile Infection in Hospitalized Adults

Sample size: 200 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Ishanvi Ishanvi, Patro Shubhransu, Sharma Vibha, Sandeep Chikkam, Mohapatra Smrutisree, Sabat Smaranita, Panigrahi Kumudini, Pathi Basanti Kumari

Primary Institution: Kalinga Institute of Medical Sciences, Bhubaneswar, IND

Hypothesis

What is the incidence and what are the risk factors for Clostridium difficile infection among adult patients admitted to a tertiary care hospital?

Conclusion

The study found a 9% incidence of Clostridium difficile infection among hospitalized adults, highlighting the importance of careful antibiotic use.

Supporting Evidence

  • The incidence of CDI was found to be 9% among the study participants.
  • 60% of patients had been exposed to broad-spectrum antibiotics during hospitalization.
  • All CDI-positive cases had fecal leukocytes detected in their stool samples.

Takeaway

This study shows that some people in the hospital can get a bad tummy bug called Clostridium difficile, especially if they take strong antibiotics.

Methodology

A prospective observational study was conducted with 200 adult patients, collecting stool samples and relevant clinical data to analyze for C. difficile toxins.

Limitations

The study had a short duration and small sample size, and only used ELISA for CDI detection.

Participant Demographics

{"mean_age":46.49,"gender_distribution":{"male":60,"female":40},"prior_hospitalization":19,"underlying_diseases":22}

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.7759/cureus.75071

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