Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-19T17:13:51.926Z Has data issue: false hasContentIssue false
  • English
  • Français

Clostridioides difficile infection and antibiotic prescription rates in the community: Explaining the gender gap

Published online by Cambridge University Press:  26 November 2020

Mariam Younas Open the ORCID record for Mariam Younas [Opens in a new window] ,
Julie Royer ,
Sharon B. Weissman ,
Hana R. Winders ,
Sangita Dash ,
P. Brandon Bookstaver ,
Julie Ann Justo Open the ORCID record for Julie Ann Justo [Opens in a new window] ,
Katie S. Waites ,
Linda Bell  and
Majdi N. Al-Hasan
Mariam Younas*
Affiliation:
University of South Carolina School of Medicine, Columbia, South Carolina Department of Medicine, Prisma Health-Midlands, Columbia, South Carolina Department of Medicine, Hurley Medical Center, Flint, Michigan
Julie Royer
Affiliation:
South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Division, Columbia, South Carolina
Sharon B. Weissman
Affiliation:
University of South Carolina School of Medicine, Columbia, South Carolina Department of Medicine, Prisma Health-Midlands, Columbia, South Carolina
Hana R. Winders
Affiliation:
Department of Clinical Pharmacy and Outcomes Sciences, University of South Carolina College of Pharmacy, Columbia, South Carolina Department of Pharmacy, Prisma Health Richland Hospital, Columbia, South Carolina
Sangita Dash
Affiliation:
University of South Carolina School of Medicine, Columbia, South Carolina Department of Medicine, Prisma Health-Midlands, Columbia, South Carolina
P. Brandon Bookstaver
Affiliation:
Department of Clinical Pharmacy and Outcomes Sciences, University of South Carolina College of Pharmacy, Columbia, South Carolina Department of Pharmacy, Prisma Health Richland Hospital, Columbia, South Carolina
Julie Ann Justo
Affiliation:
Department of Clinical Pharmacy and Outcomes Sciences, University of South Carolina College of Pharmacy, Columbia, South Carolina Department of Pharmacy, Prisma Health Richland Hospital, Columbia, South Carolina
Katie S. Waites
Affiliation:
South Carolina Department of Health and Environmental Control, Columbia, South Carolina
Linda Bell
Affiliation:
South Carolina Department of Health and Environmental Control, Columbia, South Carolina
Majdi N. Al-Hasan*
Affiliation:
University of South Carolina School of Medicine, Columbia, South Carolina Department of Medicine, Prisma Health-Midlands, Columbia, South Carolina
*
Author for correspondence: Mariam Younas, E-mail: drmariamyounas@gmail.com. Or Majdi N. Al-Hasan, E-mail: majdi.alhasan@uscmed.sc.edu
Author for correspondence: Mariam Younas, E-mail: drmariamyounas@gmail.com. Or Majdi N. Al-Hasan, E-mail: majdi.alhasan@uscmed.sc.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

In this cross-sectional population-based study, women had significantly higher crude incidence rates of both community-associated Clostridioides difficile infection (CA-CDI) and ambulatory antibiotic prescriptions compared to men in South Carolina in 2015. After adjustments for antibiotic prescription rates, there was no difference in the incidence rates of CA-CDI between the genders.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 5 , May 2021 , pp. 622 - 624
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION. The preliminary results of this study were presented in part (abstract 975) at IDWeek, October 3–7, 2018, in San Francisco, California.

References

Dantes, R, Mu, Y, Hicks, LA, et al. Association between outpatient antibiotic prescribing practices and community-associated Clostridium difficile infection. Open Forum Infect Dis 2015;2(3):ofv113.CrossRefGoogle ScholarPubMed
Lessa, FC, Mu, Y, Winston, LG, et al. Determinants of Clostridium difficile infection incidence across diverse United States geographic locations. Open Forum Infect Dis 2014;1(2):ofu048.CrossRefGoogle ScholarPubMed
Younas, M, Royer, J, Weissman, S.B, et al. Burden of community-associated Clostridioides difficile infection in southeastern United States: a population-based study. Infection 2020;48:129–132.CrossRefGoogle ScholarPubMed
Kutty, PK, Woods, CW, Sena, AC, et al. Risk factors for and estimated incidence of community-associated Clostridium difficile infection, North Carolina, USA. Emerg Infect Dis 2010;16:197–204.CrossRefGoogle ScholarPubMed
Schlichthrost, M, Sanci Lena, Pirkis J, et al. Why do men go to the doctor? Socio-demographic and lifestyle factors associated with healthcare utilization among a cohort of Australian men. BMC Public Health 2016;16 suppl 3:1028.CrossRefGoogle Scholar
Al-Hasan, MN, Lahr, BD, Eckel-Passow, JE, et al. Seasonal variation in Escherichia coli bloodstream infection: a population-based study. Clin Microbiol Infect 2009;15:947–950.CrossRefGoogle ScholarPubMed
Gulliford, MC, Moore, MV, Little, P, et al. Safety of reduced antibiotic prescribing for self-limiting respiratory tract infections in primary care: cohort study using electronic health records. BMJ 2016;354:i3410.CrossRefGoogle ScholarPubMed
Chitnis, AS, Holzbauer, SM, Belflower, RM, et al. Epidemiology of community-associated Clostridium difficile infection, 2009 through 2011. JAMA Intern Med 2013;173:1359–1367.CrossRefGoogle Scholar
Gill, JM, Fleischut, P, Haas, S et al. Use of antibiotics for adult upper respiratory infections in outpatient settings: a national ambulatory network study. Fam Med 2006;38:349–354.Google ScholarPubMed
Cals, JWL, Butler, CC, Hopstaken, RM, et al. Effect of point of care testing for C reactive protein and training in communication skills on antibiotic use in lower respiratory tract infections: cluster randomized trial. BMJ 2009;338:b1374.CrossRefGoogle Scholar