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Volume 18, Number 3—March 2012

CME ACTIVITY

Community-associated Clostridium difficile Infections, Monroe County, New York, USA

Ghinwa DumyatiComments to Author , Vanessa Stevens, George E. Hannett, Angela D. Thompson, Cherie Long, Duncan MacCannell, and Brandi Limbago
Author affiliations: University of Rochester, Rochester, New York, USA (G. Dumyati, V. Stevens); State University of New York at Buffalo, Buffalo, New York, USA (V. Stevens); New York State Department of Health, Albany, New York, USA (G.E. Hannett); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A.D. Thompson, C. Long, D. MacCannell, B. Limbago)

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Table 2

Outcomes for case-patients with CDI, Monroe County, New York, USA, March 1–August 31, 2008*

Characteristic HCFO CO-HCA CA† p value
Complications
Hospitalized for CDI NC 39 (38) 13 (19) 0.02
Median length of stay, d (SD) NC 7 (17) 4 (11) 0.06
Outcome‡
Survived 158 (80) 89 (86) 44 (66) ND
Died 23 (12) 9 (9) 0 (0) ND
Unknown 15 (8) 5 (5) 23 (34) ND
Deaths caused by CDI
Yes 7/23 (30) 3/9 (33) NC ND
No 3/23(13) 3/9 (33) NC ND
Unknown 13/23 (57) 3/9 (33) NC ND
Laboratory-confirmed recurrence (>1) 43 (22) 23 (22) 8 (12) 0.17

*Values are no. (%) positive or no. positive/no. tested (%) except as indicated. CDI, Clostridium difficile infection; HCFO, health care facility onset; CO-HCA, community onset–health care associated; CA, community associated; NC, not compared, ND, not determined.
†Definite and probable CA cases.
‡For hospitalized patients, death occurred in the hospital. For nonhospitalized patients, death occurred 8 weeks after a positive C. difficile assay result.

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