Abstract

Despite the importance of C. difficile infection (CDI) as a cause of hospital-acquired diarrhea, few studies have investigated the prevalence of asymptomatic C. difficile colonization in a broad cross-section of the general hospital patient population over multiple years and seasons.

Highlights

  • Despite the importance of C. difficile infection (CDI) as a cause of hospital-acquired diarrhea, few studies have investigated the prevalence of asymptomatic C. difficile colonization in a broad cross-section of the general hospital patient population over multiple years and seasons

  • To estimate the prevalence of asymptomatic C. difficile colonization of tertiary hospitals in different Australian States during six time-periods 2012-2014 and to describe the diversity of PCR ribotypes isolated from asymptomatic patients

  • High variability of asymptomatic C. difficile colonization prevalence was observed across seasons

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Summary

Introduction

Despite the importance of C. difficile infection (CDI) as a cause of hospital-acquired diarrhea, few studies have investigated the prevalence of asymptomatic C. difficile colonization in a broad cross-section of the general hospital patient population over multiple years and seasons. Observed in Aug-Sep 2014 (5.84%; 95% CI 3.30-9.44). A seasonal pattern characterized by lower prevalence in late winter (OR 0.63; 95% CI 0.42–0.94) was identified. The majority of the isolates (77.55%) were toxigenic C. difficile strains, PCR 014 and 018 were the most frequent toxigenic strains isolated

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