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Risk Factors Related to a Hospital-Associated Cluster of Clostridium difficile PCR Ribotype 027 Infections in Germany During 2007

Published online by Cambridge University Press:  02 January 2015

Bettina Weiss
Affiliation:
Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
Niels Kleinkauf
Affiliation:
Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
Tim Eckmanns
Affiliation:
Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
Matthias an der Heiden
Affiliation:
Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
Matthias Neumann
Affiliation:
Hospital “Barmherzige Brüder”, Trier, Germany
Harald Michels
Affiliation:
Local Health Office of Trier-Saarburg, Trier, Germany
Andreas Jansen*
Affiliation:
Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
*
Department for Infectious Disease Epidemiology, Robert Koch Institute, Seestrasse 10, 13353 Berlin, Germany(JansenA@rki.de)

Abstract

In 2007, Clostridium difficile polymerase chain reaction (PCR) ribotype 027 emerged in Germany. We conducted a hospital-based case-control study to identify specific risk factors for infection with this strain. Logistic regression analysis involving 15 case patients and 31 control patients revealed that exposure to fluoroquinolones (matched odds ratio, 36.2; P < .01) or cephalosporins (matched odds ratio, 19.1; P < .01) was independently related to C. difficile PCR ribotype 027 infection.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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