Clostridium difficile toxin in adult inpatients in an urban hospital in Malawi: Associations with HIV status, CD4 count and diarrhoea

Michael Beadsworth, Alex Beeley, Paul Roberts, Brian Farragher, Alastair Watson, Nick Beeching

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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.
Original languageEnglish
Pages (from-to)7-9
Number of pages3
JournalInternational Journal of Tropical Medicine
Issue number1
Publication statusPublished - Sep 2014

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