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Euro Surveill. Nosocomial and non-nosocomial Clostridium difficile infections hospitalised patients in Belgium - compulsory surveillance data from 2008 to 2010
[Source: Eurosurveillance, full text: (LINK). Abstract, edited.]
Eurosurveillance, Volume 16, Issue 43, 27 October 2011
Surveillance and outbreak reports
Nosocomial and non-nosocomial Clostridium difficile infections hospitalised patients in Belgium - compulsory surveillance data from 2008 to 2010
N Viseur (
)<SUP>1</SUP>, M L Lambert<SUP>1</SUP>, M Delm?e<SUP>2</SUP>, J Van Broeck<SUP>2</SUP>, B Catry<SUP>1</SUP>
Citation style for this article: Viseur N, Lambert ML, Delm?e M, Van Broeck J, Catry B. Nosocomial and non-nosocomial Clostridium difficile infections hospitalised patients in Belgium - compulsory surveillance data from 2008 to 2010. Euro Surveill. 2011;16(43):pii=20000. Available online: http://www.eurosurveillance.org/View...rticleId=20000
Date of submission: 07 July 2011 <HR>Surveillance of Clostridium difficile infection (CDI) is compulsory in Belgian hospitals. Our objectives were to compare incidence and case characteristics of nosocomial infections (Nc-CDI) with onset of diarrhoea more than two days after hospital admission, with non-nosocomial cases (Nnc-CDI). The database included inpatients from 2008 to 2010. Of 8,351 cases reported by 150 hospitals, 3,102 (37%) were classified as Nnc-CDI and 5,249 (63%) as Nc-CDI. In 2010, the mean incidence per 1,000 admissions was 0.95 for Nc-CDI and 0.56 for Nnc-CDI. Both incidences were relatively stable over the three years, with a slight decrease in 2010 (p<0.01). Onset of symptoms in Nnc-CDI cases took place in the community (57.1%), nursing homes (14.2%) or hospitals (17.5%); data for 11.2% were missing. Nnc-CDI cases were younger than Nc-CDI (median age 75 vs. 79 years, p<0.001), and more likely to be women (62% vs. 57%, p<0.001) and to have pseudomembranous colitis (5.3% vs. 1.6%, p<0.001). In 2009, C. difficile ribotype 027 was found in 32 of 70 reporting hospitals compared with 19 of 69 in 2010 (p<0.03). Although our study population only included hospitalised patients, the results do not support the hypothesis of an increase in the incidence of severe community-associated CDI.
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Eurosurveillance, Volume 16, Issue 43, 27 October 2011
Surveillance and outbreak reports
Nosocomial and non-nosocomial Clostridium difficile infections hospitalised patients in Belgium - compulsory surveillance data from 2008 to 2010
N Viseur (
- Public Health and Surveillance Department, Scientific Institute for Public Health, Brussels, Belgium
- Microbiology Unit, Catholic University of Louvain, Brussels, Belgium
Citation style for this article: Viseur N, Lambert ML, Delm?e M, Van Broeck J, Catry B. Nosocomial and non-nosocomial Clostridium difficile infections hospitalised patients in Belgium - compulsory surveillance data from 2008 to 2010. Euro Surveill. 2011;16(43):pii=20000. Available online: http://www.eurosurveillance.org/View...rticleId=20000
Date of submission: 07 July 2011 <HR>Surveillance of Clostridium difficile infection (CDI) is compulsory in Belgian hospitals. Our objectives were to compare incidence and case characteristics of nosocomial infections (Nc-CDI) with onset of diarrhoea more than two days after hospital admission, with non-nosocomial cases (Nnc-CDI). The database included inpatients from 2008 to 2010. Of 8,351 cases reported by 150 hospitals, 3,102 (37%) were classified as Nnc-CDI and 5,249 (63%) as Nc-CDI. In 2010, the mean incidence per 1,000 admissions was 0.95 for Nc-CDI and 0.56 for Nnc-CDI. Both incidences were relatively stable over the three years, with a slight decrease in 2010 (p<0.01). Onset of symptoms in Nnc-CDI cases took place in the community (57.1%), nursing homes (14.2%) or hospitals (17.5%); data for 11.2% were missing. Nnc-CDI cases were younger than Nc-CDI (median age 75 vs. 79 years, p<0.001), and more likely to be women (62% vs. 57%, p<0.001) and to have pseudomembranous colitis (5.3% vs. 1.6%, p<0.001). In 2009, C. difficile ribotype 027 was found in 32 of 70 reporting hospitals compared with 19 of 69 in 2010 (p<0.03). Although our study population only included hospitalised patients, the results do not support the hypothesis of an increase in the incidence of severe community-associated CDI.