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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. 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 major cause of both community- and healthcare-associated infections.
- Older adults are disproportionately affected by CDI, with long-term care facilities (LTCFs) bearing a significant burden.
- Recurrent CDI in older adults negatively impacts quality of life.
Purpose of the Study:
- To review current concepts in the epidemiology of Clostridioides difficile infection in older adults.
- To discuss contemporary approaches to diagnosing Clostridioides difficile infection in the elderly.
- To outline current management strategies for Clostridioides difficile infection in older populations.
Main Methods:
- Literature review of recent studies on Clostridioides difficile infection.
- Synthesis of epidemiological data relevant to older adults.
- Analysis of diagnostic and management guidelines for Clostridioides difficile infection.
Main Results:
- Clostridioides difficile infection presents unique challenges in older adults.
- Early and accurate diagnosis is crucial for effective management.
- Recurrence is a significant issue requiring specific therapeutic considerations.
Conclusions:
- Optimal diagnosis and management of Clostridioides difficile infection are essential for older adults in both community and LTCF settings.
- Further research is needed to address the specific needs of older adults regarding Clostridioides difficile infection.
- A comprehensive approach is necessary to mitigate the impact of Clostridioides difficile infection on this demographic.
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