In this large analysis of all Cdiff cases in Olmsted County, Minnesota from 1991 to 2005, 41% of all cases were community acquired. Compared to hospital acquired, they were more likely to occur in younger healthier women without exposure to antibiotics (22% had no history of antibiotics. There were not significant differences in community or hospital acquired with respect to severity or recurrence rates. Hospitalists should be aware of the frequency of community acquired Cdiff, 22% of which have not been exposed to antibiotics (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.