Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Risk Factors for Pediatric C. Difficile
J Pediatr; 2017 Jul; Adams, Eberly, et al
Several drugs that are commonly prescribed to children increase the risk of community-acquired Clostridium difficile infection, according to an analysis of over 1,300 children in the US military health system database. Investigators made the following observations:
- Fluoroquinolones, clindamycin, third-generation cephalosporins, proton pump inhibitors, and several classes of antibiotics were linked to the subsequent diagnosis of the infection.
- Children who were cared for at an outpatient clinic were 35% more likely to develop C. difficile, when compared to controls.
- As expected, exposure to family members with the infection also increased the risk.
Citation:
Adams DJ, Eberly MD, Rajnik M, Nylund CM. Risk factors for community-associated Clostridium difficile infection in children. J Pediatr. 2017;186:105-109. doi:10.1016/j.jpeds.2017.03.032.