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Text
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URL Address
<a href="http://doi.org/10.1177/0148607114568121" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0148607114568121</a>
Pages
682–687
Issue
5
Volume
40
Dublin Core
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Title
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Prolonged Clostridium difficile Infection May Be Associated With Vitamin D Deficiency.
Publisher
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JPEN. Journal of parenteral and enteral nutrition
Date
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2016
2016-07
Subject
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*adult; *gastroenterology; *immunonutrition; *life cycle; *nutrition; *research and diseases; *sepsis; *vitamins; 80 and over; 80 and Over; Aged; Clostridium Infections – Etiology; Clostridium Infections – Mortality; Clostridium Infections – Physiopathology; Clostridium Infections/*etiology/mortality/physiopathology; Diarrhea – Microbiology; Diarrhea – Physiopathology; Diarrhea/microbiology/physiopathology; Female; Humans; Iatrogenic Disease – Epidemiology; Iatrogenic Disease/epidemiology; Length of Stay; Male; Middle Age; Middle Aged; Nutritional Status; Psychological Tests; Recurrence; Retrospective Design; Retrospective Studies; Sepsis – Epidemiology; Sepsis/epidemiology; Severity of Illness Index; Severity of Illness Indices; Vitamin D; Vitamin D – Blood; Vitamin D Deficiency – Blood; Vitamin D Deficiency – Complications; Vitamin D Deficiency/blood/*complications; Vitamin D/analogs & derivatives/blood
Creator
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Wong Ken Koon; Lee Rebecca; Watkins Richard R; Haller Nairmeen A
Description
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BACKGROUND: Clostridium difficile infection (CDI) is one of the leading causes of hospital-acquired infections, creating a financial burden for the U.S. healthcare system. Reports suggest that vitamin D-deficient CDI patients incur higher healthcare-associated expenses and longer lengths of stay compared to nondeficient counterparts. The objective here was to evaluate the relationship between vitamin D level and CDI recurrence. MATERIALS AND METHODS: A retrospective chart review was conducted for 112 patients with vitamin D level drawn within 3 months of CDI diagnosis. Recurrence, severity of disease, 30-day mortality, and course of CDI were assessed. RESULTS: The vitamin D-deficient group included 56 patients, and the normal group included 56 patients. The mean age of vitamin D-deficient and -sufficient groups was 68 +/- 15.7 and 71 +/- 14.4 years, respectively. The mean 25(OH) D level in the deficient group was 11.7 +/- 4.6 ng/mL, and it was 36.2 +/- 16.2 ng/mL in the normal group. A longer course of diarrhea was apparent in the vitamin D-deficient group compared to the normal group: 6.1 days (95% confidence interval [CI], 4.9-7.2) vs 4.2 days (95% CI, 3.5-4.9; P = .01). Sepsis rate was 24% in vitamin D-deficient group and 13% in normal group (P = .03). There were no differences in CDI recurrence, length of stay, severity of illness, and mortality with respect to vitamin D status. CONCLUSION: There may be an association between course of diarrhea and increased rate of sepsis in vitamin D-deficient CDI patients.
Identifier
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<a href="http://doi.org/10.1177/0148607114568121" target="_blank" rel="noreferrer noopener">10.1177/0148607114568121</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*adult
*gastroenterology
*immunonutrition
*life cycle
*nutrition
*research and diseases
*sepsis
*vitamins
2016
80 and over
Aged
Clostridium Infections – Etiology
Clostridium Infections – Mortality
Clostridium Infections – Physiopathology
Clostridium Infections/*etiology/mortality/physiopathology
Department of Internal Medicine
Diarrhea – Microbiology
Diarrhea – Physiopathology
Diarrhea/microbiology/physiopathology
Female
Haller Nairmeen A
Humans
Iatrogenic Disease – Epidemiology
Iatrogenic Disease/epidemiology
JPEN. Journal of parenteral and enteral nutrition
Lee Rebecca
Length of Stay
Male
Middle Age
Middle Aged
NEOMED College of Medicine
Nutritional Status
Psychological Tests
Recurrence
Retrospective Design
Retrospective Studies
Sepsis – Epidemiology
Sepsis/epidemiology
Severity of Illness Index
Severity of Illness Indices
Vitamin D
Vitamin D – Blood
Vitamin D Deficiency – Blood
Vitamin D Deficiency – Complications
Vitamin D Deficiency/blood/*complications
Vitamin D/analogs & derivatives/blood
Watkins Richard R
Wong Ken Koon