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Clostridium difficile cytotoxin in a pediatric population.

C M Thompson, P H Gilligan, M C Fisher

    American Journal of Diseases of Children (1960)
    |March 1, 1983
    PubMed
    Summary

    Clostridium difficile cytotoxin was found in 8.6% of pediatric patients, particularly in younger children and those with hospital or antibiotic-associated illnesses. These factors were significant independent risks for C. difficile infection.

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    Area of Science:

    • Microbiology
    • Pediatric Infectious Diseases
    • Gastroenterology

    Background:

    • Clostridium difficile is a significant cause of infectious diarrhea in children.
    • Cytotoxin production is a key virulence factor for C. difficile.
    • Understanding risk factors for C. difficile cytotoxin in pediatric populations is crucial for effective management.

    Purpose of the Study:

    • To determine the prevalence of Clostridium difficile cytotoxin in pediatric stool samples.
    • To identify risk factors associated with the presence of C. difficile cytotoxin in children.
    • To correlate C. difficile cytotoxin detection with clinical diagnoses in pediatric patients.

    Main Methods:

    • Stool samples from 208 pediatric patients were analyzed for Clostridium difficile cytotoxin.

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  • Data on patient age, hospitalization, and antibiotic use were collected.
  • Clinical diagnoses were reviewed for correlation with cytotoxin detection.
  • Main Results:

    • Clostridium difficile cytotoxin was detected in 8.6% of pediatric patients.
    • Cytotoxin was more prevalent in younger children (median age 11 months).
    • Hospital-associated illness (17%) and antibiotic-associated illness (18%) were linked to higher cytotoxin detection rates.

    Conclusions:

    • Younger age, hospitalization, and antibiotic use are significant independent risk factors for C. difficile cytotoxin in pediatric patients.
    • C. difficile cytotoxin can be associated with a spectrum of clinical presentations, from colitis to asymptomatic carriage.
    • Routine laboratory assays for C. difficile cytotoxin are valuable in pediatric settings.