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 -