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Relapse Versus Reinfection: Surveillance of Clostridium difficile Infection
Author(s) -
Mini Kamboj,
Perminder Khosa,
Anna Kaltsas,
N. Esther Babady,
Cheol Son,
Kent A. Sepkowitz
Publication year - 2011
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir643
Subject(s) - medicine , clostridium difficile , diarrhea , typing , clostridiaceae , clostridium , immunology , intensive care medicine , microbiology and biotechnology , antibiotics , bacteria , genetics , toxin , biology
Molecular typing was used to examine surveillance definitions for recurrent Clostridium difficile-associated diarrhea. Among 102 patients, 85 had a second episode within 8 weeks, 88% of which were relapses. Of 49 second episodes occurring after > 8 weeks, 65% were relapses. Categorization of a recurrent episode occurring after >8 weeks as a new infection may misrepresent the majority of episodes for surveillance.

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