Trends in incidence of long-term-care facility onset Clostridium difficile infections in 10 US geographic locations during 2011-2015

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https://doi.org/10.1016/j.ajic.2017.11.026
 http://hdl.handle.net/11603/29026

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UMBC Emergency and Distaster Health Systems
A. All Hilltop Institute (UMBC) Works
UMBC School of Public Policy

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2018-06-28

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journal articles
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Guh, Alice Y., Yi Mu, James Baggs, Lisa G. Winston, Wendy Bamberg, Carol Lyons, Monica M. Farley, et al. “Trends in Incidence of Long-Term-Care Facility Onset Clostridium Difficile Infections in 10 US Geographic Locations during 2011-2015.” American Journal of Infection Control 46, no. 7 (July 1, 2018): 840–42. https://doi.org/10.1016/j.ajic.2017.11.026.

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This work was written as part of one of the author's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
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Abstract

During 2011-2015, the adjusted long-term-care facility onset Clostridium difficile infection incidence rate in persons aged ≥65 years decreased annually by 17.45% (95% confidence interval, 14.53%-20.43%) across 10 US sites. A concomitant decline in inpatient fluoroquinolone use and the C difficile epidemic strain NAP1/027 among persons aged ≥65 years may have contributed to the decrease in long-term-care facility-onset C difficile infection incidence rate.