Epidemiology and factors associated with candidaemia following Clostridium difficile infection in adults within metropolitan Atlanta, 2009-2013

Epidemiol Infect. 2016 May;144(7):1440-4. doi: 10.1017/S0950268815003027. Epub 2015 Nov 26.

Abstract

We assessed prevalence of and risk factors for candidaemia following Clostridium difficile infection (CDI) using longitudinal population-based surveillance. Of 13 615 adults with CDI, 113 (0·8%) developed candidaemia in the 120 days following CDI. In a matched case-control analysis, severe CDI and CDI treatment with vancomycin + metronidazole were associated with development of candidaemia following CDI.

Keywords: CDI treatment; Candidaemia; Clostridium difficile infection; co-infection; severe CDI.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Candida / physiology*
  • Candidemia / drug therapy
  • Candidemia / epidemiology*
  • Candidemia / microbiology
  • Case-Control Studies
  • Clostridioides difficile / physiology*
  • Clostridium Infections / complications
  • Clostridium Infections / drug therapy
  • Clostridium Infections / epidemiology*
  • Clostridium Infections / microbiology
  • Female
  • Georgia / epidemiology
  • Humans
  • Longitudinal Studies
  • Male
  • Metronidazole / therapeutic use*
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Vancomycin / therapeutic use*
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Metronidazole
  • Vancomycin