8 doctors weighed in:

Why is clostridium difficile infections levels increasing in the elderly?

8 doctors weighed in
Dr. Nelson Nicolasora
Internal Medicine - Infectious Disease
3 doctors agree

In brief: Old - vulnerable.

The elderly are at increased risk of acquiring C diff infection because of: 1) co-morbidities; 2) need for hospitalization and extended stays in health care facilities (nursing home etc.
); 3) higher rate of procedures especially GI procedures; 4) increase antibiotic exposure and; 5) possibly poor fecal microbiome reconstitution and immunity.

In brief: Old - vulnerable.

The elderly are at increased risk of acquiring C diff infection because of: 1) co-morbidities; 2) need for hospitalization and extended stays in health care facilities (nursing home etc.
); 3) higher rate of procedures especially GI procedures; 4) increase antibiotic exposure and; 5) possibly poor fecal microbiome reconstitution and immunity.
Dr. Nelson Nicolasora
Dr. Nelson Nicolasora
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Dr. Christopher Nicora
Internal Medicine
2 doctors agree

In brief: C diff

Broad spectrum antibiotics is the cause.

In brief: C diff

Broad spectrum antibiotics is the cause.
Dr. Christopher Nicora
Dr. Christopher Nicora
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Dr. Michael Ein
Internal Medicine - Infectious Disease

In brief: Yes

C. Difficile is implicated in 10-30% of people with hospital associated diarrhea.
Incidence varies but c. Difficile colitis in acute-care hospitals increased from 30-40 cases per 100, 000 population in the 1990's to 84 per 100, 000 by 2005. It is increasing in all populations including the elderly.

In brief: Yes

C. Difficile is implicated in 10-30% of people with hospital associated diarrhea.
Incidence varies but c. Difficile colitis in acute-care hospitals increased from 30-40 cases per 100, 000 population in the 1990's to 84 per 100, 000 by 2005. It is increasing in all populations including the elderly.
Dr. Michael Ein
Dr. Michael Ein
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