Identification Of Risk Factors For Community-Acquired Clostridium Difficile
BACKGROUND OR INTRODUCTION: Traditional risk factors observed in the hospital are not always seen in community-acquired Clostridium difficile.
OBJECTIVE OR PURPOSE: To determine patient population and risk factors for developing community-acquired Clostridium difficile and to see what population or factors tend to have the most reoccurrences.
METHODS: Data were requested for patients seen between January 2017- August 2018. Patients included were either diagnosed with community-acquired Clostridium difficile in the emergency department or within 72 hours of their hospital stay. Data were also requested for patients diagnosed with unspecified diarrhea during this time. Descriptive statistics will be utilized in 200 patients for both quantitative and qualitative data. (59)
RESULTS: Average age and weight for the Clostridium difficile patients is 57.15 years and 86.72 kg compared to 65.03 years and 82.92 kg. Both groups had 29/100 (29%) patients receive antibiotics prior to admission. 36/100(36%) of patients with Clostridium difficile were readmitted within 30 days versus 22/100(22%) of unspecified patients. Out of 100 patients with Clostridium difficile, 27 were on a PPI. This was less than the 33/100 patients in the control group. 31% of patients with Clostridium difficile had diabetes versus 26% in the control group.
DISCUSSION/CONCLUSION: Our sample showed similar results for patients receiving antibiotics prior to admission. Data also showed that, even though it was not the majority, there were some patients who had previous medical care, who were taking a proton pump inhibitor, or had diabetes. Pharmacists should be aware that other risk factors may still be present.