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. 2014 Dec;88(4):218-21.
doi: 10.1016/j.jhin.2014.06.016. Epub 2014 Jul 30.

Clostridium Difficile Ribotype 027 Is Most Prevalent Among Inpatients Admitted From Long-Term Care Facilities

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Free PMC article

Clostridium Difficile Ribotype 027 Is Most Prevalent Among Inpatients Admitted From Long-Term Care Facilities

L R Archbald-Pannone et al. J Hosp Infect. .
Free PMC article

Abstract

Intestinal inflammation was evaluated using faecal lactoferrin and ribotype in 196 hospitalized adults with Clostridium difficile infection to determine the impact of ribotype 027 in long-term care facilities (LTCFs). LTCF residents (n=28) had greater antibiotic use (P=0.049) and more ribotype 027 infection [odds ratio (OR): 4.87; 95% confidence interval (CI): 2.02-11.74; P<0.01], compared to those admitted from home. Patients infected with ribotype 027 strains had worse six-month mortality (OR: 1.90; 95% CI: 1.08-3.34; P=0.03) and more inflammation (95.26 vs 36.08 μg/mL; P=0.006), compared to those infected with non-027 strains. This study was not designed to determine acquisition site, but, in this population, suggests that the location from which the patient has been admitted is strongly associated with ribotype 027 and more severe C. difficile disease.

Keywords: Clostridium difficile infection; Long-term care residents; Nosocomial diarrhoea; Strain BI/NAP1/027.

Conflict of interest statement

Conflict of interest statement

Drs Archbald-Pannone and Guerrant have no relevant conflicts of interest. Mr Boone and Drs Carman and Lyerly are employed by TechLab, Inc.

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