Evaluating the Risk Factors for Hospital-Onset Clostridium difficile Infections in a Large Healthcare System.

Watson, Troy; Hickok, Jason; Fraker, Sarah; Korwek, Kimberly; Poland, Russell E; Septimus, Edward · Clin Infect Dis · 2018

retrospective_cohort · Level III

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Abstract

In this multicenter retrospective cohort study of over 1 million patients at 150 US hospitals, proton pump inhibitors increased the odds of a patient having hospital-onset Clostridium difficile infection as did third and fourth generation cephalosporins, carbapenems, and piperacillin/tazobactam. These findings support appropriate prescribing of acid-suppression therapy and high-risk antibiotics.

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