The Canadian Nosocomial Infection Surveillance Program

Clostridium difficile Associated Disease (CDAD) Surveillance

• 2007-present
• 2006
• 2004-2005
• 1997

2007-present

Data Collection Form
Definitions
Protocol
Lab Protocol
Surveillance for Clostridium difficile associated diarrhea (CDAD) - Preliminary results from January 1st to April 30th, 2007

2006

No data collection for this period

2004-2005

Protocol
Data Collection Form
Working Group

Preliminary Results

Six months prospective surveillance (November 1, 2004 to April 30, 2005) in 34 hospitals. Under surveillance were all hospitalized patients at least 1 year of age. The total mean incidence of nosocomial CDAD was 6.0/1000 admissions, and the mean case fatality ratio was 5.7%.
Severe outcomes of patients with CDAD were as follows:

• Colectomy
  • 18 (1.0%) patients
• ICU admission for CDAD
  • 37 (2.1%) patients
• Died: 271 (14.6%) patients
  • Directly related to CDAD: 40 (2.2%)
  • Indirectly related to CDAD: 63 (3.5%)
  • Unrelated to CDAD: 168 (9.1%)

1997

Publications/Presentations
Protocol
Data Collection Form
Working Group

Six week prospective surveillance within 19 hospitals in 8 provinces
Mean incidence of nosocomial CDAD was 5.9/1000 patient admissions.
Mean case fatality ratio: 1.5%