TY - JOUR
T1 - Clostridium difficile Toxin in Adult Inpatients in an Urban Hospital
in Malawi: Associations with HIV Status, CD4 Count and Diarrhoea
AU - Beadsworth, Michael B.J. AU - Beeching, Nick J. AU - Watson, Alastair AU - Roberts, Paul Paul AU - Farragher, Brian AU - Keeley, Alex J.
JO - International Journal of Tropical Medicine
VL - 9
IS - 1
SP - 7
EP - 9
PY - 2014
DA - 2001/08/19
SN - 1816-3319
DO - ijtmed.2014.7.9
UR - https://makhillpublications.co/view-article.php?doi=ijtmed.2014.7.9
KW - sub-Saharan Africa
KW -Clostridum difficile
KW -HIV
KW -diarrhoea
KW -CDI
AB - Clostridium difficile Infection (CDI) is the
cause of substantial morbidity and mortality in the developed world. However,
very little is known about the burden of CDI in sub-Saharan Africa where less
antibiotic restriction, high HIV prevalence and greater impact from nosocomial
infection mean the potential for a significant disease burden is great. Researchers
investigated the prevalence of Clostridium difficile Toxin (CDT), assessing
association with HIV, CD4 count and diarrhoea in medical in-patients in Malawi.
In 206 patients tested for CDT, 28 (13.6%) were positive. No significant associations
were seen with either diarrhoea or HIV. There was a non-statistically significant
(p = 0.056) association between CD4 counts of <50 and CDT. The frequency
and the clinical implications of CDI in both HIV positive and negative patients
in sub-Saharan Africa, requires further assessment.
ER -