Original Article

Risk, Outcomes, and Predictors of Clostridium difficile Infection in Lymphoma: A Nationwide Study

Objective: The risk of Clostridium difficile infection (CDI) has not been well studied in patients with lymphoma. We thus sought to determine the risk of CDI in hospitalizations with lymphoma along with its trend, outcomes, and predictors using a large database. Methods: Hospital discharge data from the Nationwide Inpatient Sample…

Posted in: chemotherapy 15 Clostridium difficile 10 lymphoma 14

Original Article

Predictors of 30-Day Mortality in Hospitalized Patients with Clostridium difficile Infection

Objectives: Clostridium difficile infection (CDI) is a significant cause of morbidity and mortality and is the most common nosocomial infection in the United States, with associated annual costs of approximately $3 billion. The epidemiology of CDI has changed with the identification of novel risk factors for incident and recurrent CDI….

Posted in: Clostridium difficile 10 comorbidities 4 mortality 38 predictors 3

Original Article

Impact of Evidence-Based Guidelines on Outcomes of Hospitalized Patients With Clostridium difficile Infection

Objectives: Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Clinical practice guidelines for the treatment of CDI were updated in 2010 by the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America. An institutional guideline for the classification and management…

Posted in: Clostridium difficile 10 Guidelines 10 hospital medicine 15 outcomes 19

Original Article

Does Alkaline Colonic pH Predispose to Clostridium difficile Infection?

Objectives: Clostridium difficile caused nearly 500,000 infections and was associated with approximately 29,000 deaths in 2011, according to data from the Centers for Disease Control and Prevention. C. difficile is a bacterium that causes diarrhea and, often, severe illness in healthcare facilities, as well as the community. Our objective was…

Posted in: Clostridium difficile 10

Expired CME Article

Clostridium difficile: An Update for the Primary Care Clinician

Clostridium difficile infection (CDI) is an important cause of intestinal disease, primarily affecting hospitalized patients exposed to antibiotics. Infection has been associated with prolonged hospital stays and excess healthcare expenditures. Recent changes in the epidemiology, pathogenesis, and treatment of CDI have occurred, leading to renewed scrutiny of this pathogen. Increases…

Posted in: Clostridium difficile 10 diarrhea 10

Original Article

The Utility of Repeated Stool Toxin Testing for Diagnosing Clostridium difficile Colitis

Abstract:Clostridium difficile is diagnosed using the enzyme-linked immunoassay (EIA) with the specificity and sensitivity ranging from 50–90% and 70–95%, respectively. Due to the wide ranges, there is considerable confusion regarding the value of the EIA toxin test. We undertook this study to evaluate the benefit of repeat stool toxin testing.

Posted in: Clostridium difficile 10

Case Report

Nitazoxanide and Probiotics for the Treatment of Recurrent Clostridium difficile Infection in a Peritoneal Dialysis Patient

Abstract:Nitazoxanide has been proven to be efficacious for the treatment of Clostridium difficile infection (CDI), but data is limited in peritoneal dialysis (PD) patients. This report details the successful utilization of nitazoxanide and probiotics to treat multirecurrent CDI in a PD patient. A 58-year-old woman was admitted with hypotension, nausea…

Posted in: Clostridium difficile 10 dialysis 5 peritoneal dialysis 3

Original Article

Is It Clostridium difficile Infection or Something Else? A Case-control Study of 352 Hospitalized Patients With New-onset Diarrhea

Background: Clostridium difficile-associated diarrhea (CDAD) is a leading cause of nosocomial diarrhea in the United States, and may be associated with significant morbidity and occasional mortality. Diarrhea is also very common among hospitalized patients and is often related to a variety of factors not related to C difficile infection. Methods:…

Posted in: Clostridium difficile 10 diarrhea 10 hospital 3 Patients 3

Original Article

Clostridium difficile: Association with Thrombocytosis and Leukocytosis

Background: Apart from leukocytosis, few laboratory markers suggestive of Clostridium difficile infections have been described. Methods: We retrospectively analyzed the association between thrombocytosis, leukocytosis and C difficile infections at the Atlanta Veterans Affairs Medical Center. Results: Of 162 patients with C difficile infection, 36 (22%) had thrombocytosis, and 97 (60%)…

Posted in: Clostridium difficile 10

Case Report

Leukemoid Reaction Due to Clostridium difficile Infection in Acquired Immunodeficiency Syndrome: Two Case Reports and a Review of the Literature

The clinical presentation of colitis associated with Clostridium difficile infection in immunosuppressed patients with acquired immunodeficiency syndrome (AIDS) has not been completely characterized. Previous reports suggest that these patients present with low blood leukocyte counts, consistent with the impaired myelopoiesis that can occur with human immunodeficiency virus (HIV) infection. In…

Posted in: acquired immunodeficiency syndrome 5 Clostridium difficile 10
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