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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
PubMed
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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.

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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%.