Prevalence ofClostridium difficileinfection in acute care hospitals, long-term care facilities, and outpatient clinics: IsClostridium difficileinfection underdiagnosed in long-term care facility patients?

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HighlightsPrevalence of Clostridium difficile infection [CDI] using microbiologic data.8 acute care hospitals [ACHs], 16 long-term care facilities [LTCFs], 45 clinicsLTCFs [33%] had higher CDI prevalence compared to ACHs [15%] and clinics [12%].CDI testing less frequent in LTCFs than ACHs [2 vs 50-100 tests/month per facility]Low CDI prevalence [12%] in one LTCF which tested more frequently [26 tests/month].Clostridium difficile infection is a common cause of diarrhea in long-term care facility (LTCF) patients. The high prevalence of C difficile infection in LTCFs noted in our study calls for a critical need to educate LTCF staff to send diarrheal stool for C difficile testing to identify more cases and prevent transmission.

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