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Mortality and Clostridium difficile infection: a review


Mitchell, BG and Garner, A, Mortality and Clostridium difficile infection: a review, Antimicrobial Resistance and Infection Control, 1, (20) pp. 1-6. ISSN 2047-2994 (2012) [Refereed Article]


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Licensed under Creative Commons Attribution 2.0 Generic (CC BY 2.0)

DOI: doi:10.1186/2047-2994-1-20


Abstract Background: Clostridium difficile infection (CDI) is a common cause of diarrhoea in hospitalised patients. Around the world, the incidence and severity of CDI appears to be increasing, particularly in the northern hemisphere. The purpose of this integrative review was to investigate and describe mortality in hospitalised patients with CDI. Methods: A search of the literature between 1 January 2005 and 30 April 2011 focusing on mortality and CDI in hospitalised patients was conducted using electronic databases. Papers were reviewed and analysed individually and themes were combined using integrative methods. Results: All cause mortality at 30 days varied from 9% to 38%. Three studies report attributable mortality at 30 days, varying from 5.7% to 6.9%. In hospital mortality ranged from 8% to 37.2% Conclusion: All cause 30 day mortality appeared to be high, with 15 studies indicating a mortality of 15% or greater. Findings support the notion that CDI is a serious infection and measures to prevent and control CDI are needed. Future studies investigating the mortality of CDI in settings outside of Europe and North America are needed. Similarly, future studies should include data on patient co-morbidities. Keywords: Clostridium difficile infection, Clostridium difficile associated diarrhoea, Mortality, Death

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Disease distribution and transmission (incl. surveillance and response)
UTAS Author:Mitchell, BG (Mr Brett Mitchell)
ID Code:81731
Year Published:2012
Web of Science® Times Cited:55
Deposited By:Health Sciences B
Deposited On:2013-01-04
Last Modified:2013-08-27
Downloads:504 View Download Statistics

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