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Volume 12, Number 5—May 2006

Dispatch

Clostridium difficile Ribotype 027, Toxinotype III, the Netherlands

Ed J. Kuijper*Comments to Author , Renate J. van den Berg*, Sylvia Debast†, Caroline E. Visser‡, Dick Veenendaal§, Annet Troelstra¶, Tjallie van der Kooi#, Susan van den Hof#, and Daan W. Notermans#
Author affiliations: *Leiden University Medical Center, Leiden, the Netherlands; †St Jansdal Hospital, Harderwijk, the Netherlands; ‡Academic Medical Center, Amsterdam, the Netherlands; §The Public Health Laboratory, Haarlem, the Netherlands; ¶Utrecht Medical Center, Utrecht, the Netherlands; #National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands

Main Article

Table

Characteristics of 9 hospitals with patients with Clostridium difficile–associated diarrhea due to PCR ribotype 027, toxinotype III*

Hospital no. and setting No. beds Admissions
Incidence/
10,000, before outbreak Maximum incidence/
mo/10,000, during outbreak† Date of outbreak onset Total no. CDAD patients in given period, 2005 Deaths, 30 d No. strains studied No. toxinotype III, PCR ribotype 027 strains
1. Harderwijk 341 4 83 Apr 2005 51, Apr–Nov 3 30 19
2. Amersfoort 600 11 87 May 2005 85, Jan–Dec 19 50 15
3. Utrecht 1,013 16 No outbreak 37, Jun–Dec Unk. 17 6
4. Nieuwegein 584 11 No outbreak 13, Jan–Dec Unk. 4 1
5. Amsterdam 1,002 38 52 June 2005 68, Jan–Oct 1 28 12
6. Amsterdam 310 10 66 Apr–May 2005 42, Jan–Oct Unk. 34 16
7. Haarlem 744 7 27 2004 66, Jan–Dec Unk. 9 7
8. Hoofddorp 455 3 76 Jan 2005 73, Jan–Dec Unk. 8 8
9. Beverwijk 383 4 47 2002 24, Jan–Dec Unk. 4 3

*PCR, polymerase chain reaction; CDAD, Clostridium difficile–associated diarrhea; unk., unknown.
†Timeframe 2–4 mo.

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