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Published on: May 25, 2017
Update on Clostridioides difficile Infection in Older Adults
1Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Clostridioides difficile infection (CDI) significantly impacts older adults, especially in long-term care facilities (LTCFs). This review covers the latest understanding of CDI epidemiology, diagnosis, and management in this vulnerable population.
Area of Science:
- Geriatrics
- Infectious Diseases
- Epidemiology
Background:
- Clostridioides difficile infection (CDI) is a frequent cause of community- and healthcare-associated infections.
- Older adults experience a disproportionate burden of CDI, particularly within long-term care facilities (LTCFs).
- Recurrent CDI in older individuals leads to significant declines in quality of life.
Purpose of the Study:
- To review current concepts in the epidemiology of Clostridioides difficile infection (CDI) in older adults.
- To discuss contemporary diagnostic approaches for CDI in the geriatric population.
- To outline current management strategies for CDI in older adults, considering community and LTCF settings.
Main Methods:
- Literature review of recent studies on Clostridioides difficile infection (CDI).
- Focus on epidemiological data, diagnostic advancements, and therapeutic guidelines relevant to older adults.
- Synthesis of information pertaining to both community-acquired and healthcare-associated CDI.
Main Results:
- Older adults face higher risks and more severe outcomes from CDI.
- Effective diagnosis and timely management are crucial for improving patient outcomes and reducing recurrence.
- Long-term care facilities are key settings for CDI prevention and control efforts.
Conclusions:
- Clostridioides difficile infection (CDI) presents unique challenges in older adults due to increased susceptibility and recurrence rates.
- Optimizing diagnostic testing and management strategies is essential for mitigating the impact of CDI in this demographic.
- Continued research and implementation of evidence-based practices are needed to address the burden of CDI in older populations.
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