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Clostridium difficile in Long‐Term–Care Facilities for the Elderly

Andrew E. Simor , MD, Suzanne F. Bradley , MD, Larry J. Strausbaugh , MD, Kent Crossley , MD, Lindsay E. Nicolle , MD and SHEA Long‐Term–Care Committee
Infection Control and Hospital Epidemiology
Vol. 23, No. 11 (November 2002), pp. 696-703
DOI: 10.1086/501997
Stable URL:
Page Count: 8
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Clostridium difficile in Long‐Term–Care Facilities for the Elderly
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ABSTRACT Antimicrobial agents are among the most frequently prescribed medications in long‐term–care facilities (LTCFs). Therefore, it is not surprising that Clostridium difficile colonization and C. difficile–associated diarrhea (CDAD) occur commonly in elderly LTCF residents. C. difficile has been identified as the most common cause of non‐epidemic acute diarrheal illness in nursing homes, and outbreaks of CDAD in LTCFs have also been recognized. This position paper reviews the epidemiology and clinical features of CDAD in elderly residents of LTCFs and, using available evidence, provides recommendations for the management of C. difficile in this setting.

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