Ann Clin Microbiol 2022;25:47-52. Clinical and microbiological risk factors for community-associated Clostridioides difficile infections
Table 1. Comparison between CA-CDI and HA-CDI groups
VariablesCA-CDI (n = 127)HA-CDI (n = 265)P-value
Age (yr) 66.9±18.972.1±13.50.0064
Sex, male 51 (40.2)120 (45.3)0.3386
Charlson comorbidity index 2.4±2.1 2.7±1.90.1109
Associated disease
Biliary tract disease3 (2.4)8 (3.0)0.7133
Cancer22 (17.3)59 (22.3)0.2593
Pneumonia18 (14.2)57 (21.5)0.0863
Heart failure5 (3.9)8 (3.0)0.6357
Chronic respiratory disease5 (3.9)22 (8.3)0.1185
Chronic renal disease24 (18.9)42 (15.9)0.4508
Diabetes mellitus23 (18.1)38 (14.3)0.3361
Cerebrovascular disease7 (5.5)34 (12.8)0.0314
Alcohol disorder5 (3.9)4 (1.5)0.1481
Osteoarthritis04 (1.5)0.9836
Atherosclerosis4 (3.2)9 (3.4)0.8985
Esophageal disorder1 (0.8)8 (3.0)0.2000
Nutrition deficiency1 (0.8)4 (1.5)0.5580
Inflammatory bowel disease8 (6.3)1 (0.4)0.0070
Gastric ulcer2 (1.6)10 (3.8)0.2518
History of antimicrobial use
Any104 (81.9)244 (92.1)0.0036
Penicillin28 (22.1)73 (27.6)0.2448
Narrow-spectrum cephalosporin12 (9.5) 37 (14.0)0.2090
Extended-spectrum cephalosporin31 (24.4) 69 (26.0)0.7293
Inhibitor-combination12 (9.5)60 (22.6)0.0022
Carbapenem9 (7.1)46 (17.4)0.0080
Fluoroquinolone16 (12.6)58 (21.9)0.0298
Teicoplanin4 (3.2)39 (14.7)0.0019
Aminoglycoside0 5 (1.9)0.9880
History of PPI use 13 (10.2)34 (12.8)0.4603
History of chemotherapy13 (10.2)28 (10.6)0.9209
CDI-associated symptom
Diarrhea84 (66.1)122 (46.0)0.0002
Abdominal pain29 (22.8)29 (10.9)0.0023
Fever (> 38°C)26 (20.5)33 (12.5)0.0394
Prognosis
Recovery112 (88.9)224 (84.5)0.2486
Recurrence4 (3.2)15 (5.7)0.2855
ICU admission3 (2.4)19 (7.2)0.0677
Crude mortality14 (11.0)44 (16.6)0.1559
C. difficile toxin
A+B+CDT –115 (90.6)232 (87.6)0.3826
B only8 (6.3)22 (8.3)0.4852
A+B+CDT+4 (3.2)11 (4.2)0.6286
Ribotypes of C. difficile
AB24 (ST129)3 (2.4)8 (3.0)0.7133
AB25 (ST102)5 (3.9)8 (3.0)0.6357
Ribotype 0016 (4.7)16 (6.0)0.5979
Ribotype 00212 (9.5)17 (6.4)0.2856
Ribotype 012 8 (6.3)14 (5.3)0.6828
Ribotype 014/02017 (13.4) 43 (16.2)0.4654
Ribotype 0175 (3.4)18 (6.8)0.2660
Ribotype 01829 (22.8) 58 (21.9)0.8318
Ribotype 0464 (3.2)18 (6.8)0.1523
Ribotype 0703 (2.4)4 (1.5)0.5540
Ribotype 1068 (6.3)14 (5.3)0.6828
Others*27 (21.3)47 (17.7)0.4046
Data are presented in number (%) or mean±standard deviation; Bold format indicates statistical significance. *Others included AB11, AB15, AB21, AB23, AB27, AB30, AB32, AB33, AB37, AB38, AB39, AB43, AB45, AB47, AB59, AB62, AB72, AB84, AB85, AB86, AB89, C29, C3, C31, R020, R023, R027, R078, R081, R087, R088, R103, R137, R159, R161, R163, and R369. Abbreviations: CDI, C. difficile infection; CA, community-associated; HA, healthcare-associated; PPI, proton pump inhibitor; ICU, intensive care unit; CDT, binary toxin; ST, sequence type.