Table 2.
Pattern of FDX use | Hospital (total number of beds) | |||||||
---|---|---|---|---|---|---|---|---|
A (1100) | B (1000) | Ca (1806) | D (426) | E (890) | F (1187) | G (591) | ||
First line in all episodes | First line in all episodes | Used in selected episodes onlyb | First line for recurrence only | Used in selected episodes onlyc | Used in selected episodes onlyd | Used in selected episodes onlye | ||
Time period | Description of treatment | No. of primary episodes | ||||||
Pre-FDX | Non-FDX | 66 | 98 | 79a | 70 | 117 | 89 | 112 |
Post-FDX | Non-FDX | – | – | 120 | 52 | 47 | 30 | 55 |
FDX first line | 27 | 62 | 10 | 1 | 17 | 52 | 6 | |
FDX not first line | 5 | 2 | 10 | 3 | 29 | 7 | 8 | |
All treatments | 32 | 64 | 140a | 56 | 93 | 89 | 68 | |
No. of recurrences | ||||||||
Time period | Diagnostic approach | Clinical + toxin | Clinical | Clinical + toxin | Clinical | Clinical | Clinical | Clinical + toxin |
Pre-FDX | Non-FDX | 7 | 23 | 5a | 5 | 22 | 16 | 9 |
Post-FDX | Non-FDX | – | – | 16 | – | 7 | 6 | 2 |
FDX first line | 2 | 2 | 10 | 1 | 3 | 5 | 1 | |
FDX not first line | – | – | 5 | – | 2 | – | 1 | |
All treatments | 2 | 2 | 31a | 1 | 12 | 11 | 4 |
aData represent a sample of all episodes
bRecurrences and selected primary episodes according to microbiologist or infectious diseases consultant discretion
cAll C. difficile toxin-positive patients except if: relative contraindication (age, severe renal failure, other medication), patient already recovered, patient discharged
dAll C. difficile toxin-positive patients aged over 75 years old: first line; under 75 years old: for relapse and/or multiple co-morbidities and needing other antibiotics
eRecurrences and primary episodes in patients with risk factors that made a recurrence likely, e.g. immunosuppressed patients, those with several co-morbidities