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Published on: December 10, 2016
Clostridium difficile in urology
M Hossain1, T J Crook, S R Keoghane
1Solent Department of Urology, St Mary's Hospital, Portsmouth, UK.
Annals of the Royal College of Surgeons of England
|January 19, 2008
Summary
Clostridium difficile infection (CDI) incidence in a UK urology ward was studied from 2000-2005. Urology ward CDI rates were lower than national averages and other wards, with no evidence of increase.
Area of Science:
- Infectious Diseases
- Urology
- Epidemiology
Background:
- Clostridium difficile infection (CDI) is a significant healthcare-associated pathogen.
- Understanding CDI incidence in specialized wards is crucial for infection control.
Purpose of the Study:
- To determine the incidence of CDI in a UK urology ward between 2000 and 2005.
- To compare urology ward CDI rates with other hospital wards and national figures.
Main Methods:
- Retrospective analysis of C. difficile positive stool cultures in urology patients (2000-2005).
- Data collection included antibiotic use, diagnosis, and patient status.
- Comparison with CDI cases and patient data from elderly care, acute medical, and acute surgical wards.
Main Results:
- 33 cases of CDI were identified in the urology ward.
- Incidence ranged from 10.2 to 48.4 cases per 10,000 patient episodes (mean 21.0).
- Significantly lower CDI rates per 1000 patient days compared to acute medical (P=0.002) and elderly care wards (P=0.03).
Conclusions:
- No evidence of increased CDI incidence in the UK urology ward.
- Urology ward CDI rates were below the national average and significantly lower than acute medical and elderly care wards.
- The probability of a urology patient testing positive for CDI during their stay was 0.21%.
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