SLIDE 3 Kansas HEN 2.0 Collaborative Meeting November 18, 2015 3
2014 Silver Award Recipient
Cost of CDI in US
- 336,000 hospitalizations annually
- Aggregate hospital costs exceed $8.2 billion
annually
- Patients with principal CDI diagnosis remain
hospitalized for 6.9 days at a cost of $10,100/stay – Patients with secondary CDI diagnosis remain hospitalized for 16.0 days at a cost of $31,500/stay.
- CDI disproportionately affects the elderly
– CMS pays for 68% of CDI hospital stays
Lucado J, Gould C, Elixhauser A. Clostridium difficile infections (CDI) in hospital stays, 2009. HCUP Statistical
- Brief124. January 2012. Rockville, MD: Agency for Healthcare Research and Quality. http://www.hcup‐
us.ahrq.gov/reports/statbriefs/sb124.pdf. Accessed December 27, 2011.
2014 Silver Award Recipient
- C. difficile Hospital Epidemiology
- Use of antibiotics is frequent
- Environmental contamination by C. difficile is
common
– Spores are difficult to eradicate
- Personnel carry C. difficile on their hands
- Asymptomatic patients carry C. difficile
2014 Silver Award Recipient
Rise in CDI in hospitalized US patients
- Retrospective analysis of 2.2 million adult patients discharged
from US hospitals from 2001‐2010
- ICD‐9‐CM code for CDI
- CDI was associated with significant resource use
- 66% of patients were admitted emergently
- >50% had a concomitant infectious diagnosis
Reveles KR, Lee GC, Boyd NK, Frei CR. The rise in Clostridium difficile infection incidence among hospitalized adults in the United States: 2001‐2010. AJIC 42 (2014);1028‐12
