Nearly half a million Americans suffer from C. difficile infections in single year

Publication/Release Date February 2015

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Clostridium difficile caused almost half a million infections among patients in the United States in a single year, according to a new CDC studyexternal icon. C. difficile  causes inflammation of the colon and deadly diarrhea.

CDC’s new study of data from 2011 found that:

  • C. difficile infections cause immense suffering and death for thousands of Americans each year.
  • An estimated 15,000 deaths are directly attributable to C. difficile infections, making it a substantial cause of infectious disease death in the United States.
  • Risk of C. difficile infection and death increases with age. Thousands of C. difficile infections develop among residents of U.S. nursing homes each year, and a majority of the deaths associated with C. difficile occur among Americans 65 or older.

Previous studies indicate that C. difficile has become the most common pathogen identified as the cause of healthcare-associated infections in U.S. hospitals and costs up to $4.8 billion each year in excess healthcare costs for acute care facilities alone. Taking antibiotics is the most important risk factor for developing C. difficile infections. These devastating infections can be avoided by improving antibiotic prescribing and infection control across our healthcare system. Unnecessary antibiotic use in patients at one facility can cause spread of C. difficile in another facility when patients transfer. To help hospitals develop antibiotic prescribing improvement programs (also called “antibiotic stewardship” programs), CDC has developed several tools, including a list of Core Elements of Hospital Antibiotic Stewardship Programs and an accompanying checklist.

Over the next five years, CDC’s efforts to combat C. difficile infections and antibiotic resistance under the National Strategy to Combat Antibiotic Resistant Bacteria (CARB) will enhance national capabilities for antibiotic stewardship, outbreak surveillance, and antibiotic resistance prevention. These efforts hold the potential to cut the incidence of C. difficile infections in half.

Deadly Diarrhea: C. Difficile Causes Immense Suffering, Death

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Deadly Diarrhea: C. Difficile Causes Immense Suffering, Death

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Medical illustration of Clostridium difficile.

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Medical illustration of Clostridium difficile.

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Yellow-green fluorescence of Clostridium difficile under long-wave UV irradiation on a CCFA plate.

Yellow-green fluorescence of Clostridium difficile under long-wave UV irradiation on a CCFA plate.

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Healthcare-associated Infections: What Patients Can Do.

Healthcare-associated Infections: What Patients Can Do.

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Antibiotic prescribing rates by states across the U.S. (2012/13).

Antibiotic prescribing rates by states across the U.S. (2012/13).

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Examples of When Antibiotics are Urgent and Necessary.

Examples of When Antibiotics are Urgent and Necessary.

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Infographic: Antibiotic Rx for Hospitals: Proceed with Caution.

Infographic: Antibiotic Rx for Hospitals: Proceed with Caution.

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Antibióticos recetados en los hospitales.

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Antibióticos recetados en los hospitales.

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Infographic: Reducing prescriptions of high-risk antibiotics by 30% in hospitals can lower deadly diarrhea infections by 26%.

Infographic: Reducing prescriptions of high-risk antibiotics by 30% in hospitals can lower deadly diarrhea infections by 26%.

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Contact Information

CDC Media Relations
(404) 639-3286
media@cdc.gov

Spokespersons

Michael Bell, MD

Biography

Michael Bell, MD

“This article tells us that we have work to do across the entire healthcare system and in the community. Just one breach in glove use, hand hygiene, or cleaning protocols can lead to spread. There is no room for error.”

Michael Bell, MD – Deputy Director of CDC’s Division of Healthcare Quality Promotion

Clifford McDonald, MD

Clifford McDonald, MD

“Taking antibiotics is the most important risk factor for developing C. difficile infections. When a person takes antibiotics, beneficial bacteria that are normally present in the human gut and normally protect against infection can be altered or suppressed for several weeks to months. During this time, patients can get sick from C. difficile picked up from contaminated surfaces or spread person to person. Because patients are so frequently transferred, improved antibiotic use and infection control in one facility may reduce the spread of C. difficile in another facility.”

Clifford McDonald, MD -Senior Advisor for Science and Integrity of CDC’s Division of Healthcare Quality Promotion

Fernanda Lessa, MD

Fernanda Lessa, MD

“This data is from the largest, longitudinal, U.S. population-based surveillance for C. difficile infection to date and includes active laboratory case finding across diverse U.S. geographic locations.”

Fernanda Lessa, MD -Medical Epidemiologist and lead author of report

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