@article{MAKHILLIJTM20149119888,
    title = {<I>Clostridium difficile</I> Toxin in Adult Inpatients in an Urban Hospital 
  in Malawi: Associations with HIV Status, CD4 Count and Diarrhoea},
    journal = {International Journal of Tropical Medicine},
    volume = {9},
    number = {1},
    pages = {7-9},
    year = {2014},
    issn = {1816-3319},
    doi = {ijtmed.2014.7.9},
    url = {https://makhillpublications.co/view-article.php?issn=1816-3319&doi=ijtmed.2014.7.9},
    author = {Michael B.J.,Nick J.,Alastair,Paul Paul,Brian and},
    keywords = {sub-Saharan Africa,Clostridum difficile,HIV,diarrhoea,CDI},
    abstract = {<I>Clostridium difficile</I> 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 <I>Clostridium difficile</I> 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 &lt;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.}
    }