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Community-Associated Clostridium difficile Infection among Veterans with Spinal Cord Injury and Disorder

Published online by Cambridge University Press:  10 May 2016

Salva N. Balbale ,
Stuart Johnson ,
Stephen P. Burns ,
Stephen M. Kralovic ,
Barry Goldstein ,
Dale N. Gerding  and
Charlesnika T. Evans
Salva N. Balbale*
Affiliation:
Department of Veterans Affairs, Center of Innovation for Complex Chronic Healthcare and Spinal Cord Injury Quality Enhancement Research Initiative, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois
Stuart Johnson
Affiliation:
Department of Veterans Affairs, Research Service, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois Department of Medicine, Loyola University Medical Center, Maywood, Illinois
Stephen P. Burns
Affiliation:
Veterans Affairs Puget Sound Health Care System, Spinal Cord Injury Quality Enhancement Research Initiative, and University of Washington, Seattle, Washington
Stephen M. Kralovic
Affiliation:
Cincinnati Veterans Affairs Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio
Barry Goldstein
Affiliation:
Veterans Affairs Puget Sound Health Care System, Spinal Cord Injury Quality Enhancement Research Initiative, and University of Washington, Seattle, Washington
Dale N. Gerding
Affiliation:
Department of Veterans Affairs, Research Service, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois Department of Medicine, Loyola University Medical Center, Maywood, Illinois
Charlesnika T. Evans
Affiliation:
Department of Veterans Affairs, Center of Innovation for Complex Chronic Healthcare and Spinal Cord Injury Quality Enhancement Research Initiative, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois Department of Preventive Medicine and Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
*
Edward Hines Jr., Veterans Affairs Hospital, 5000 South 5th Avenue (151H), Room D304, Hines, IL 60141 (salva.balbale@va.gov)
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Abstract

The impact of community-associated Clostridium difficile infection (CA-CDI) on patients with spinal cord injuries and disorders (SCI/Ds) is not fully understood. We examined CA-CDI cases among veterans with SCI/D, comparing them with community-onset, healthcare facility-associated (CO-HCFA) cases. Generally, patients with CA-CDI had less comorbidity, less severe CDI, and lower likelihood of antibiotic exposure.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue 5 , May 2014 , pp. 577 - 580
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

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