Ann Clin Microbiol 2022;25:17-23. Clinical and microbiological risk factors for severe Clostridioides difficile infections
Table 1. Comparison of severe (or severe complicated) CDI and non-severe CDI
VariableSevere or severe complicated CDI
(n = 149)
Non-severe CDI
(n = 155)
P-value
Age (yr)74.0+15.065.9+18.3< 0.0001
Sex, male70 (47.0)70 (45.2)0.7505
Hospital-associated100 (67.1)94 (60.7)0.2411
Charlson comorbidity index2.4+1.72.5+1.80.6365
Associated disease
Biliary tract disease5 (3.4)7 (4.5)0.6047
Cancer32 (21.5)47 (30.3)0.0799
Pneumonia33 (22.2)14 (9.0)0.0021
Heart failure10 (6.7)2 (1.3)0.0295
Chronic respiratory disease6 (4.0)2 (1.3)0.1574
Chronic renal disease29 (19.5)27 (17.4)0.6460
Diabetes mellitus28 (18.8)20 (13.0)0.1613
Cerebrovascular disease12 (8.1)17 (11.0)0.3890
Alcohol disorder1 (0.7)1 (0.7)0.9776
Atherosclerosis3 (2.0)4 (2.6)0.7423
Esophageal disorder1 (0.7)0 (0.0)0.9856
Nutrition deficiency6 (4.0)1 (0.7)0.0859
Inflammatory bowel disease1 (0.7)5 (3.2)0.1474
Gastric ulcer2 (1.3)1 (0.7)0.5477
Liver cirrhosis1 (0.7)3 (1.9)0.3556
History of antimicrobial use
Any137 (92.0)135 (87.1)0.1720
Penicillin39 (26.2)24 (15.5)0.0228
Narrow-spectrum cephalosporin10 (6.7)23 (14.8)0.0262
Extended-spectrum cephalosporin40 (26.9)48 (31.0)0.4285
Inhibitor-combination23 (15.4)22 (14.2)0.7604
Carbapenem36 (24.2)21 (13.6)0.0191
Fluoroquinolone37 (24.8)27 (17.4)0.1145
Teicoplanin19 (12.8)8 (5.2)0.0243
History of PPI use10 (6.7)16 (10.3)0.2638
History of chemotherapy13 (8.7)13 (8.4)0.9162
Treatment
Antimicrobial stop78 (52.4)80 (51.6)0.8978
Metronidazole26 (17.5)17 (11.0)0.1077
Vancomycin54 (36.2)44 (28.4)0.1437
Prognosis
Recovery118 (79.2)145 (93.6)0.0005
Recurrence6 (4.0)10 (6.5)0.3482
CDI-related mortality1 (0.7)1 (0.7)0.9776
Crude mortality26 (17.5)7 (4.5)0.0007
History of CDI2 (1.3)2 (1.3)0.9683
C. difficile toxin
A+B+CDT+5 (3.4)12 (7.7)0.1057
B only11 (7.4)6 (3.9)0.1901
A+B+CDT-133 (89.3)137 (88.4)0.8091
C. difficile ribotype
AB24 (ST129)5 (3.4)4 (2.6)0.6919
AB25 (ST102)4 (2.7)7 (4.5)0.3978
Ribotype 0014 (2.7)12 (7.7)0.0590
Ribotype 00216 (10.7)6 (3.9)0.0265
Ribotype 0124 (2.7)10 (6.5)0.1290
Ribotype 014/02020 (13.4)28 (18.1)0.2687
Ribotype 0178 (5.4)4 (2.6)0.2219
Ribotype 01842 (28.2)24 (15.5)0.0080
Ribotype 0465 (3.4)5 (3.2)0.9494
Ribotype 0702 (1.3)5 (3.2)0.2891
Ribotype 10610 (6.7)9 (5.8)0.7448
Others*29 (19.5)41 (26.5)0.1492

Data in number (%) except for age, Charlson comorbidity index, and laboratory findings, which were in mean + standard deviation. Bold formatting indicates statistical significance. *Other included AB11, AB16, AB21, AB27, AB28, AB37, AB43, AB46, AB47, AB48, AB67, AB68, AB76, AB79, AB84, AB89, AB90, AB91, C14, C29, C32, R005, R023, R027, R078, R103, R122, R126, R137, R159, R161, R163, R267, and R369. Abbreviations: CDI, C. difficile infection; PPI, proton pump inhibitor; ST, sequence type.