Clostridium difficile in the Military Population
Abstract
Clostridium difficile, a gram-positive, spore-forming rod bacterium, causes diarrheal morbidity, increases hospitalizations and health care costs. In this 12-year retrospective-cohort, descriptive epidemiological study of DMSS and 5-year retrospective study of HL7, all components of the U.S. active component service member population was studied. 2,953 CDAD incident cases among active component service members were identified. Annual incident rates increased from 3.86 to 24.03 cases per 100,000 person-years. The overall incidence rates were highest among females, the oldest (45 ), white, non-Hispanic, and healthcare workers. Rates of CDAD cases increased during the 12-year surveillance period among active component U.S. service members. HL7 data identified 1,505 positive results out of 20,152 tests performed for Clostridium difficile between 2010-2014. Certain risk factors may be associated with this increase, such as gender, age, race, and occupation. These findings may warrant further evaluation to define the risk and impact of CDAD on the health of the U.S. active component service member population.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 05, 2016
- Accession Number
- AD1010402
Entities
People
- Michael J. D'onofrio
- Patricia Rohrbeck
Organizations
- United States Army Medical Research Institute of Infectious Diseases