International Journal of Tropical Medicine

Year: 2014
Volume: 9
Issue: 1
Page No. 7 - 9

Clostridium difficile Toxin in Adult Inpatients in an Urban Hospital in Malawi: Associations with HIV Status, CD4 Count and Diarrhoea

Authors : Michael B.J. Beadsworth, Alex J. Keeley, Paul Paul Roberts, Brian Farragher, Alastair Watson and Nick J. Beeching

Abstract: 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.

How to cite this article:

Michael B.J. Beadsworth, Alex J. Keeley, Paul Paul Roberts, Brian Farragher, Alastair Watson and Nick J. Beeching, 2014. Clostridium difficile Toxin in Adult Inpatients in an Urban Hospital in Malawi: Associations with HIV Status, CD4 Count and Diarrhoea. International Journal of Tropical Medicine, 9: 7-9.

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