Epidemiology of

C. difficile burden of illness definitions epidemiology surveillance vaccine

Journal

Canada communicable disease report = Releve des maladies transmissibles au Canada
ISSN: 1188-4169
Titre abrégé: Can Commun Dis Rep
Pays: Canada
ID NLM: 9303729

Informations de publication

Date de publication:
04 Jul 2019
Historique:
entrez: 30 7 2019
pubmed: 30 7 2019
medline: 30 7 2019
Statut: epublish

Résumé

Two vaccines against To determine the epidemiology of hospital-acquired CDI (HA-CDI) and community-associated CDI (CA-CDI) in Canada using provincial surveillance data and document discrepancies in CDI-related definitions among provincial surveillance programs. Publicly-available CDI provincial surveillance data from 2011 to 2016 that distinguished between HA-CDI and CA-CDI were included and the most common surveillance definitions for each province were used. The HA-, CA-CDI incidence rates and CA-CDI proportions (%) were calculated for each province. Both HA- and CA-CDI incidence rates were examined for trends. Types of disparities were summarized and detailed discrepancies were documented. Canadian data were analyzed from nine provinces. The HA-CDI rates ranged from 2.1/10,000 to 6.5/10,000 inpatient-days, with a decreasing trend over time. Available data on CA-CDI showed that both rates and proportions have been increasing over time. Discrepancies among provincial surveillance definitions were documented in CDI case classifications, surveillance populations and rate calculations. In Canada overall, the rate of HA-CDI has been decreasing and the rate of CA-CDI has been increasing, although this calculation was impeded by discrepancies in CDI-related definitions among provincial surveillance programs. Nationally-adopted common definitions for CDI would enable better comparisons of CDI rates between provinces and a calculation of the pan-Canadian burden of illness to support vaccine decision-making.

Sections du résumé

BACKGROUND BACKGROUND
Two vaccines against
OBJECTIVES OBJECTIVE
To determine the epidemiology of hospital-acquired CDI (HA-CDI) and community-associated CDI (CA-CDI) in Canada using provincial surveillance data and document discrepancies in CDI-related definitions among provincial surveillance programs.
METHODS METHODS
Publicly-available CDI provincial surveillance data from 2011 to 2016 that distinguished between HA-CDI and CA-CDI were included and the most common surveillance definitions for each province were used. The HA-, CA-CDI incidence rates and CA-CDI proportions (%) were calculated for each province. Both HA- and CA-CDI incidence rates were examined for trends. Types of disparities were summarized and detailed discrepancies were documented.
RESULTS RESULTS
Canadian data were analyzed from nine provinces. The HA-CDI rates ranged from 2.1/10,000 to 6.5/10,000 inpatient-days, with a decreasing trend over time. Available data on CA-CDI showed that both rates and proportions have been increasing over time. Discrepancies among provincial surveillance definitions were documented in CDI case classifications, surveillance populations and rate calculations.
CONCLUSION CONCLUSIONS
In Canada overall, the rate of HA-CDI has been decreasing and the rate of CA-CDI has been increasing, although this calculation was impeded by discrepancies in CDI-related definitions among provincial surveillance programs. Nationally-adopted common definitions for CDI would enable better comparisons of CDI rates between provinces and a calculation of the pan-Canadian burden of illness to support vaccine decision-making.

Identifiants

pubmed: 31355824
doi: 10.14745/ccdr.v45i78a04
pii: 457804
pmc: PMC6615439
doi:

Types de publication

Journal Article

Langues

eng

Pagination

191-211

Déclaration de conflit d'intérêts

Conflict of interest: Y Xia has no conflict of interest MC Tunis, K Amaratunga and A House are employees of the Public Health Agency of Canada C Frenette and K Katz are co-Chairs of CNISP SR Rose is a Past-President of Institute of Public Administration of Canada C Quach is the current Chair of the National Advisory Committee on Immunization and the Past-President for the Association for Medical Microbiology and Infectious Diseases Canada

Références

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pubmed: 29941432
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pubmed: 23342416
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pubmed: 29769992
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pubmed: 26297376
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pubmed: 27263967
Eur J Clin Microbiol Infect Dis. 2016 Jun;35(6):1037-44
pubmed: 27056555
Can Commun Dis Rep. 2010 Jul 16;36(ACS-4):1-37
pubmed: 31701956

Auteurs

Y Xia (Y)

Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC.
Infection Prevention and Control, Department of Pediatrics, CHU Sainte-Justine, Montreal, QC.

M C Tunis (MC)

Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON.

C Frenette (C)

Department of Laboratory Medicine, McGill University Health Centre, Montreal, QC.

K Katz (K)

North York General Hospital, Toronto, ON.

K Amaratunga (K)

Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Department of Medicine, Division of Infectious Diseases, University of Ottawa, Ottawa, ON.

S Rhodenizer Rose (SR)

Infection Prevention and Control Canada, Halifax, NS.

A House (A)

Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON.

C Quach (C)

Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC.
Infection Prevention and Control, Department of Pediatrics, CHU Sainte-Justine, Montreal, QC.
Department of Microbiology, Infectious Diseases, and Immunology, University of Montreal, Montreal, QC.
Department of Pediatric Laboratory Medicine, CHU Sainte-Justine, Montreal, QC.

Classifications MeSH