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The Canadian Nosocomial Infection Surveillance Program


CNISP - PCSIN

Clostridium difficile Associated Disease (CDAD) Surveillance

Healthcare-Associated-Clostridium difficile Infection (HA-CDI) 2007 - 2011

Number of Healthcare-Associated-Clostridium difficile infection cases and incidence rates per 1,000 patient admissions by region
  Rate per 1,000 patient admissions
Region
Western Central Eastern Overall
No.cases Rate No.cases Rate No.cases Rate No.cases Rate
2007 1,180 4.08 1,831 5.07 260 3.44 3,271 4.51
2008 1,060 6.35 1,597 5.48 256 3.56 2,913 5.49
2009 683 5.13 1,401 4.98 161 2.74 2,245 4.75
2010 1,251 4.68 1,266 5.13 155 2.04 2,672 4.53
2011 1,170 4.85 1,910 6.21 101 2.20 3,181 5.35
Number of Healthcare-Associated-Clostridium difficile infection cases and incidence rate per 10,000 patient days by region
  Rate per 10,000 patient days
Region
Western Central Eastern Overall
No.cases Rate No.cases Rate No.cases Rate No.cases Rate
2007 1,180 6.06 1,831 8.22 260 3.95 3,271 6.77
2008 1,060 8.06 1,597 7.36 256 3.86 2,913 7.02
2009 683 6.87 1,401 5.91 161 3.19 2,245 5.80
2010 1,251 6.84 1,266 6.76 155 2.27 2,672 6.09
2011 1,170 6.10 1,910 8.37 101 2.88 3,181 6.99
Number of Healthcare-Associated-Clostridium difficile infection cases and incidence rates per 1,000 patient admissions by type of facility
  Rate per 1,000 patient admissions
Type of Facility
Adult and mixed sites Pediatric stand-alone sites Overall
No.cases Rate No.cases Rate No.cases Rate
2007 3,207 4.61 64 2.10 3,271 4.51
2008 2,816 5.66 97 2.96 2,913 5.49
2009 2,164 4.95 81 2.24 2,245 4.75
2010 2,570 4.69 102 2.47 2,672 4.53
2011 3,053 5.65 128 2.36 3,181 5.35
Adult and mixed sites are comprised of hospitals that provide services to both adult and pediatric patients. Typically, the pediatric patients represent less than 10% of the hospital population.
Number of Healthcare-Associated-Clostridium difficile infection cases and incidence rate per 10,000 patient days by type of facility
  Rate per 10,000 patient days
Type of Facility
Adult and mixed sites Pediatric stand-alone sites Overall
No.cases Rate No.cases Rate No.cases Rate
2007 3,207 6.93 64 3.15 3,271 6.77
2008 2,816 7.15 97 4.60 2,913 7.02
2009 2,164 5.92 81 3.74 2,245 5.80
2010 2,570 6.19 102 4.35 2,672 6.09
2011 3,053 7.09 128 5.22 3,181 6.99
Adult and mixed sites are comprised of hospitals that provide services to both adult and pediatric patients.  Typically, the pediatric patients represent less than 10% of the hospital population.
Attributable mortality rate 30 days after date of positive culture per 100 HA-CDI cases
  Number of deathTable 5 - Footnote * Mortality rate per 100 HA-CDI cases
2007 33 4.9
2008 25 5.0
2009 33 3.1
2010 88 6.1
2011 88 5.3
Footnote *
*Deaths directly and indirectly related to HA-CDI 30 days after onset of HA-CDI

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