Is high consumption of antibiotics associated with Clostridium difficile polymerase chain reaction-ribotype 027 infections in France?

Infect Control Hosp Epidemiol. 2010 Mar;31(3):302-5. doi: 10.1086/650758.

Abstract

We compared antibiotic consumption between hospitals affected by a strain of Clostridium difficile designated as polymerase chain reaction-ribotype 027 (CD-027) and those unaffected during an outbreak in northern France. The mean consumption of several beta-lactams, amikacin, and fluoroquinolones was high in affected hospitals (P < .05). However, only levofloxacin and imipenem remained associated with emerging CD-027 in the multivariate analysis, suggesting that those antibiotics should be better targeted by prevention campaigns.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Clostridioides difficile / classification
  • Clostridioides difficile / drug effects*
  • Clostridium Infections / epidemiology*
  • Cross Infection
  • Disease Outbreaks*
  • France / epidemiology
  • Hospitals / statistics & numerical data
  • Humans
  • Incidence
  • Polymerase Chain Reaction*
  • Practice Patterns, Physicians'
  • Ribotyping

Substances

  • Anti-Bacterial Agents