Clostridium difficile Infections on the Increase

In 2010 ” target=”_blank”>a report publishing the latest data on the trends in C. dif. infections. These trends are not encouraging.

The number of annual C. dif. infections, and the number of those which are fatal, are higher than ever, with 14,000 estimated annual deaths. Virtually all of them were transmitted in healthcare settings. About a quarter were acquired in hospitals, and most of the rest in nursing homes. Most of the deaths were in patients 65 years and older.

The increased number of infections and deaths is attributed to a more virulent strain that has emerged in the last few years, and on our continued misuse of antibiotics. The CDC estimates that about half of all antibiotics given are unnecessary.

The CDC has some important advice to help stem the tide of C. dif. infections. This epidemic will require attention from patients, physicians, hospital and nursing home administrators, and regional and national health agencies. The challenges to hospitals seem quite daunting. Many patients develop C. dif. infections in nursing homes and are admitted to hospitals without the information about their infection being sent with them. Moreover, hand sanitizers now in universal use in hospitals don’t kill C. dif. spores, so doctors must use gloves and gowns to prevent spreading the infection to other patients.

The CDC recommends that doctors prescribe antibiotics with greater care, diagnose C. dif. more promptly, and assure that patients with C. dif. are appropriately isolated from other patients. Patients should take antibiotics only as prescribed, inform the doctor if diarrhea develops within a few months of an antibiotic course, wash hands carefully after using the bathroom, and if possible use a separate bathroom if they have diarrhea.

Unfortunately, we will continue to hear much more about this germ in coming years.

Learn more:

” target=”_blank”>CDC: Deadly and preventable C. difficile infections at all-time high (CNN Health)
” target=”_blank”>Preventing Clostridium difficile Infections (CDC Morbidity and Mortality Weekly Report)