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Review
. 2018 Feb 22;56(3):e01747-17.
doi: 10.1128/JCM.01747-17. Print 2018 Mar.

Assessing the Burden of Clostridium difficile Infection in Low- and Middle-Income Countries

Affiliations
Review

Assessing the Burden of Clostridium difficile Infection in Low- and Middle-Income Countries

G A Roldan et al. J Clin Microbiol. .

Abstract

In contrast to the significant resources invested in the diagnosis and prevention of Clostridium difficile infection (CDI) in resource-rich settings, in resource-limited settings patients with community- and hospital-acquired diarrhea may not routinely be tested for CDI. Is CDI actually less frequent or severe in resource-limited settings, or might we be missing an important opportunity to prevent CDI-related morbidity and mortality (and to promote antibiotic stewardship) in these settings? Here, we review the literature to assess the overall burden of CDI in low- and middle-income countries.

Keywords: C. difficile infection; CDI; Clostridioides; Clostridium difficile; global health; low income; middle income; resource limited.

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References

    1. Cohen SH, Gerding DN, Johnson S, Kelly CP, Loo VG, McDonald LC, Pepin J, Wilcox MH, Society for Healthcare Epidemiology of America, Infectious Diseases Society of America. 2010. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 31:431–455. doi: 10.1086/651706. - DOI - PubMed
    1. Crobach MJ, Planche T, Eckert C, Barbut F, Terveer EM, Dekkers OM, Wilcox MH, Kuijper EJ. 2016. European Society of Clinical Microbiology and Infectious Diseases: update of the diagnostic guidance document for Clostridium difficile infection. Clin Microbiol Infect 22 Suppl 4:S63–S81. doi: 10.1016/j.cmi.2016.03.010. - DOI - PubMed
    1. World Bank Country and Lending Groups. The World Bank Group, Washington, DC. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-b... Accessed 3 November 3 2017.
    1. Borren NZ, Ghadermarzi S, Hutfless S, Ananthakrishnan AN. 2017. The emergence of Clostridium difficile infection in Asia: a systematic review and meta-analysis of incidence and impact. PLoS One 12:e0176797. doi: 10.1371/journal.pone.0176797. - DOI - PMC - PubMed
    1. Galaydick J, Xu Y, Sun L, Landon E, Weber SG, Sun D, Zhou J, Sherer R. 2015. Seek and you shall find: prevalence of Clostridium difficile in Wuhan, China. Am J Infect Control 43:301–302. doi: 10.1016/j.ajic.2014.11.008. - DOI - PubMed