UMMS Affiliation

Department of Medicine, Division of Hospital Medicine; Department of Medicine, Division of Gastroenterology

Publication Date

2017-10-04

Document Type

Article

Disciplines

Bacterial Infections and Mycoses | Clinical Epidemiology | Digestive System Diseases | Epidemiology | Gastroenterology

Abstract

Aim: To investigate the epidemiology and risk factors of Clostridium difficile infections (CDI) in patients with inflammatory bowel disease (IBD).

Methods: This is a retrospective study of patients diagnosed with IBD. 1006 charts were screened and 654 patients met the inclusion criteria. Patients were divided into 2 cohorts based on the presence of prior diagnosis of CDI. Statistical analysis with Pearson's chi-squared and two-sample t-test was performed.

Results: The incidence of CDI among IBD patients was 6.7%. There was equal prevalence of CDI among Crohn's disease (CD) (n = 21, 49%) and ulcerative colitis (UC) (n = 22, 51%). IBD patients acquired CDI at a mean age of 42.7 years, with 56% of infections acquired in the community and only 28% associated with healthcare. Only 30% of IBD patients with CDI had prior antibiotic use, and 16% had prior steroid use. IBD patients were significantly more likely to require biologic therapy (57% versus 37%, p < 0.01) and have extraintestinal manifestations of IBD (43% versus 28%, p < 0.02).

Conclusions: IBD patients are more susceptible to CDI at a younger age and often lack traditional risk factors. IBD patients with at least one CDI were more likely to require biologic therapy and had greater rates of extraintestinal manifestations.

Rights and Permissions

Copyright © 2017 William Gillespie et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

DOI of Published Version

10.1155/2017/4803262

Source

Gastroenterol Res Pract. 2017;2017:4803262. doi: 10.1155/2017/4803262. Epub 2017 Oct 4. Link to article on publisher's site

Journal/Book/Conference Title

Gastroenterology research and practice

Related Resources

Link to Article in PubMed

PubMed ID

29109735

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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