Table 2. Prediction rules for skin/environmental shedding among 44 patients receiving versus not receiving CDI therapy at the time of the cultures of whom 14 (31.8%) had positive skin and/or environmental cultures for C. difficile.
Prediction rule | Sensitivity to identify patients with positive skin and/or environmental shedding cultures | Specificity to identify patients with negative skin and environmental shedding cultures | Proportion of all patients correctly predicted as shedders or non-shedders | OR (95% CI) |
Patients receiving current CDI therapy (N = 15) | N = 4 | N = 11 | N = 15 | |
CDI therapy with metronidazole (vs. vancomycin taper) | 4/4 on metronidazole (100.0%) | 11/11 on vancomycin taper (100.0%) | 15/15 (100.0%) | Perfect prediction |
Patients not receiving current CDI therapy (N = 29) | N = 10 | N = 19 | N = 29 | |
Incontinence present (vs. absent) | 4/10(40.0%) | 18/19(94.7%) | 22/29(75.9%) | 14.6(1.1, 129.4) |
Incontinence OR decreased mobility (Braden score <4) * present (vs. both absent) | 9/10(90.0%) | 15/19(79.0%) | 24/29(82.8%) | 33.8(3.2, 351.0) |
Braden mobility score (1 = Completely immobile; 2 = Very limited; 3 = Slightly limited; 4 = No limitation).