Volume 4, Number 4—December 1998
Dispatch
Increasing Hospitalization and Death Possibly Due to Clostridium difficile Diarrheal Disease
Floyd Frost*
, Gunther F. Craun†, and Rebecca L. Calderon‡
, Gunther F. Craun†, and Rebecca L. Calderon‡Table 4
Age-specific rates of hospitalizations (estimated discharges) by diagnostic group
| Discharge rate/100,000
population (discharges) |
||
|---|---|---|
| Age | 1985-89 | 1990-94 |
| Bacterial causesa | ||
| 1 | 57.5 (10,374) | 100.8 ( 19,536) |
| 1-4 | 7.5 ( 5,416) | 21.5 ( 16,696) |
| 5-14 | 4.6 ( 7,988) | 8.2 ( 14,988) |
| 15-24 | 7.6 (14,739) | 10.6 ( 19,216) |
| 25-34 | 13.0 (26,955) | 13.5 ( 28,583) |
| 35-44 | 10.1 (17,089) | 18.5 ( 36,871) |
| 45-54 | 11.1 (13,551) | 26.4 ( 36,152) |
| 55-64 | 18.1 (19,302) | 41.7 ( 43,774) |
| 65-74 | 34.9 (30,182) | 95.4 ( 87,902) |
| 75 | 65.9 (39,903) | 211.8 (145,965) |
| Protozoal causesb | ||
| 1 | 3.8 ( 680) | 9.1 ( 1,767) |
| 1-4 | 3.0 (2,157) | 2.6 ( 2,006) |
| 5-14 | 1.4 (2,508) | 1.3 ( 2,426) |
| 15-24 | 3.3 (6,337) | 1.8 ( 3,228) |
| 25-34 | 4.3 (8,934) | 5.6 (11,941) |
| 35-44 | 5.7 (9,723) | 5.0 (10,044) |
| 45-54 | 4.8 (5,902) | 2.8 ( 3,894) |
| 55-64 | 4.5 (4,786) | 3.4 ( 3,611) |
| 65-74 | 9.0 (7,783) | 5.0 ( 4,640) |
| 75 | 12.4 (7,507) | 6.6 ( 4,561) |
| Viral causesc | ||
| 1 | 167.6 (30,234) | 387.7 (75,120) |
| 1-4 | 8.9 ( 6,400) | 67.1 (52,021) |
| 5-14 | 8.3 (14,566) | 16.3 (29,617) |
| 15-24 | 10.4 (20,142) | 13.5 (24,577) |
| 25-34 | 15.3 (31,694) | 17.4 (36,913) |
| 35-44 | 8.8 (14,837) | 11.4 (22,707) |
| 45-54 | 6.7 ( 8,209) | 8.3 (11,312) |
| 55-64 | 10.6 (11,231) | 5.4 ( 5,658) |
| 65-74 | 10.4 ( 9,020) | 8.1 ( 7,481) |
| 75 | 18.8 (11,390) | 15.8 (10,893) |
| Ill-defined diarrheal causesd | ||
| 1 | 178.9 (32,272) | 283.9 (55,006) |
| 1-4 | 27.0 (19,452) | 62.8 (48,694) |
| 5-14 | 13.3 (23,301) | 17.3 (31,594) |
| 15-24 | 24.4 (47,242) | 18.2 (32,966) |
| 25-34 | 30.3 (62,701) | 21.7 (45,966) |
| 35-44 | 25.7 (43,618) | 19.4 (38,516) |
| 45-54 | 29.5 (35,972) | 28.9 (39,459) |
| 55-64 | 46.8 (49,773) | 32.6 (34,245) |
| 65-75 | 75.5 (65,336) | 50.2 (46,257) |
| 75 | 114.7 (69,476) | 93.1 (64,163) |
aDischarges with an enteric bacteria diagnosis (ICD9 001-005, 0080-0085, 041).
bDischarges with an enteric parasite diagnosis (ICD9 006-007, 127, 129).
cDischarges with an enteric virus diagnosis (ICD9 0086, 0088, 045, 047, 048, 0700, 0701, 074).
