Epidemiology of recurrences or reinfections of Clostridium difficile-associated diarrhea

J Clin Microbiol. 2000 Jun;38(6):2386-8. doi: 10.1128/JCM.38.6.2386-2388.2000.

Abstract

Approximately 15 to 35% of patients with a first episode of Clostridium difficile-associated diarrhea relapse within 2 months. Between 1994 and 1997, strains from 93 hospitalized patients with C. difficile recurrences were fingerprinted by using both serotyping and PCR-ribotyping. The results showed that 48.4% of clinical recurrences were, in fact, reinfections with a different strain of C. difficile. Rates of clinical recurrences could therefore be reduced by implementing strict isolation precautions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bacterial Typing Techniques
  • Child
  • Child, Preschool
  • Clostridioides difficile / classification*
  • Clostridium Infections / epidemiology*
  • Diarrhea / epidemiology*
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Molecular Epidemiology
  • Paris / epidemiology
  • Recurrence