Antibiotic Use and the Risk of Hospital-Onset <i>Clostridioides Difficile</i> Infection

In this cohort study, carriers of C difficile had a substantially higher baseline hazard for hospital-onset CDI. Antibiotic exposure was associated with an increased hazard among noncarriers but was not significantly associated with additional hazard among carriers. These findings suggest that while antibiotic stewardship may reduce CDI risk in noncarriers, additional strategies may be needed for carriers given their elevated baseline risk.

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Publication Details

Journal
JAMA Network Open
Published
2025-08-08
DOI
https://doi.org/10.1001/jamanetworkopen.2025.25252
Citations
5
Primary Topic
Clostridium difficile and Clostridium perfringens research
Type
article
Field-Weighted Citation Impact
6.98
Controls
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article

Antibiotic Use and the Risk of Hospital-Onset Clostridioides Difficile Infection

Mayan Gilboa, Dafna Yahav, Tal Zilberman‐Daniels, Eyal Meltzer et al.
5 citations
JAMA Network Open
Clostridium difficile and Clostridium perfringens research
6.98
article

Antibiotic Use and the Risk of Hospital-Onset Clostridioides Difficile Infection

Mayan Gilboa, Dafna Yahav, Tal Zilberman‐Daniels, Eyal Meltzer, Gili Regev‐Yochay, Amitai Segev, Noam Barda, Ido Cohen, Yovel Peretz, Sharon Amit
article en
5 citations

Abstract

In this cohort study, carriers of C difficile had a substantially higher baseline hazard for hospital-onset CDI. Antibiotic exposure was associated with an increased hazard among noncarriers but was not significantly associated with additional hazard among carriers. These findings suggest that while antibiotic stewardship may reduce CDI risk in noncarriers, additional strategies may be needed for carriers given their elevated baseline risk.

JAMA Network OpenVol. 8(8)
Ben-Gurion University of the Negev (IL), Tel Aviv University (IL), Sheba Medical Center (IL)
Good health and well-being
Openalex Percentile: Top 3%
Clostridium difficile and Clostridium perfringens research
6.98
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Antibiotic Use and the Risk of Hospital-Onset <i>Clostridioides Difficile</i> Infection — Mayan Gilboa, Dafna Yahav, et al. · JAMA Network Open (2025) | TGRS Research Map | TGRS