
Risk factors for severe Clostridioides difficile infection in Korea: a retrospective cohort study
Review article Banseok Kim , Young Ah Kim Department of Laboratory Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea Ann Clin Microbiol 2026;29(3):13. https://doi.org/10.5145/ACM.2026.29.3.13Received on 29 April 2026, Revised on 18 August 2026, Accepted on 26 August 2026, Published on 20 September 2026.Copyright © Korean Society of Clinical Microbiology.This is an Open Access article which is freely available under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/). Abstract Background: Early identification of high-risk patients for severe Clostridioides difficile infection (CDI) is critical for timely intervention. This study evaluated antecedent factors associated with severe CDI while minimizing potential circular reasoning and reverse causality from post-diagnostic clinical course variables. Methods: In this 10-year retrospective cohort study (2014–2023) at National Health Insurance Service Ilsan Hospital, a Korean referral hospital, 908 consecutive adult inpatients with confirmed toxigenic CDI were enrolled. The patients were categorized as having severe (n = 485) or




