These 5 factors increase community-associated C. diff risk in kids

A study, presented at ID Week 2017 in San Diego, Oct. 4 to Oct. 8, identified risk factors for community-associated Clostridium difficile infection in children.

Researchers studied 138 children from eight U.S. sites from October 2014 to February 2016. The children were between the ages of 1 and 5 years with a positive C. diff stool specimen collected as an outpatient or within three days of hospitalization. The children had not been admitted to a healthcare facility in the prior 12 weeks and had no history of CDI. The children were matched to one randomly selected control by site and age group.

The study shows a significantly higher proportion of study participants than controls had:

●    An underlying chronic medical condition (33.3 percent versus 11.9 percent of controls)
●    A neonatal intensive care unit stay at time of birth (26.9 percent versus 13.2 percent)
●    Recent antibiotic exposure (53.6 percent versus 20.6 percent)
●    Recent higher-risk outpatient healthcare exposures (34.9 percent versus 19.1 percent)
●    A household member with diarrhea (36.2 percent versus 20.6 percent)

Researchers found no difference in the proportion of study participants and controls who had a feeding tube or a recent exposure to gastric acid suppressants.

"Improving outpatient antibiotic use, particularly among children with comorbidities, might reduce CA-CDI in this population," study authors concluded.

More articles on healthcare quality: 
Dentist-prescribed antibiotics linked to rising C. diff rates 
Texas sees 2nd locally acquired case of Zika this year 
Viewpoint: Pressure to reduce readmissions can hinder care quality, patient safety

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