School of Public Health

From Hospital to Community:
The Changing Epidemiology of C-Difficile Infection

Originally presented on November 18, 2010

Ghinwa Dumyati, MD, FSHEA
Associate Professor of Medicine
University of Rochester
Center for Community Health
and Epidemiologist
Monroe County Department of Public Health

Clostridium difficile infection (CDI) is a common cause of diarrhea in hospitalized patients due to exposure to antibiotics and to the healthcare environment. An increase in the incidence and the severity of this disease has been reported over the past decade in the US, Canada and Europe. In addition, CDI has been observed in healthy individuals without previous exposure to established risk factors. The changing pattern of disease is in part due to the emergence of a new epidemic, hypervirulent C. difficile strain identified as BI/NAP1/027  toxinotype III. The broadcast will describe the changing epidemiology of CDI and review CDI prevention strategies in the hospital and the community settings.

After watching this broadcast participants will be able to:

  • Understand the changing epidemiology of CDI
  • Recognize potential predisposing factors for community associated disease
  • Describe the essential components of the prevention strategy for CDI