Table 1.
Characteristics | Pediatric AAD rate/100 (n/total) | Ref. | Adult AAD rate/100 unless noted (n/total) | Ref. | Pediatric CDI rate/10000 (n/total) | Ref. | Adult CDI rate/10000 (n/total) | Ref. |
Incidence: | 29 (42/144)1 | Shan[93] | 7 (14/204)1 | Duman[158] | 22 | Sathyendan[38] | 4.3 pd3 | Stevens[173] |
Inpatient | 80 (8/10)1 | Jirapinyo[151] | 9 (10/112)1 | Selinger[112] | 5.8 ad3 | Chen[167] | 5.4 py4 | Vesteinsdottir[73] |
9.6 (67/743)2 | Elseviers[37] | 6.5 pd4 | Kim[168] | 5.7 hd2 | Wenisch[102] | |||
10.4 (153/1471)1 | Allen[159] | 6.8 v3 | Benson[70] | 10 pd2 | Hsu[103] | |||
13 (13/98)1 | Pozzoni[160] | 12.8 ad4 | Zilberberg[5] | 12 py5 | Kuntz[174] | |||
15 (14/96)1 | McFarland[96] | 13.4 pd5 | de Blank[69] | 29.2 pd2 | McFarland[121] | |||
19 (48/257)1 | Li[161] | 31.5 d4 | Deshpande[169] | 72 ad5 | Zilberberg[7] | |||
22 (14/64)1 | Surawicz[162] | 135.0 ad3 | Duleba[18] | 1282 | Huang[65] | |||
23 (55/242)2 | Lusk[36] | 416.71 | Shan[93] | 131 ad6 | Jarvis[175] | |||
25 (41/167)1 | Ouwehand[163] | 1000 (93/30)1 | Dietrich[23] | |||||
29 (42/144)1 | Shan[93] | 2080 (83/399)2 | McFarland[45] | |||||
33 (10/30)1 | Dietrich[23] | |||||||
Outpatient | 6.2 (14/225)2 | Damrongmanne[76] | 7.7/100000 py5 | Hirschhorn[164] | 143 | Benson[70] | 1.15 | Fellmeth[75] |
11 (71/650)2 | Turck[63] | 12/100000 py2 | Levy[165] | 200 (1/58)1 | Arvola[21] | 1.22 | Levy[165] | |
16 (9/58)1 | Arvola[21] | 15/1005 | Yapar[80] | 390 (12/306)1 | Boenning[170] | 11.1 py5 | Kuntz[174] | |
24 (8/33)1 | Ahmad[152] | 780 (9/115)1 | Hyams[171] | |||||
26 (25/95)1 | Vanderhoof[34] | 790 (6/76)2 | Mitchell[85] | |||||
29 (22/76)2 | Mitchell[85] | |||||||
52 (13/25)1 | Saneeyan[153] | |||||||
59 (16/27)1 | Seki[154] | |||||||
62 (31/50)1 | La Rosa[155] | |||||||
75 (27/36)1 | Fox[156] | |||||||
Mixed in- and out-patients | 17 (20/120)1 | Ruszczyński[78] | 2.5/100000 v2 | Meropol[166] | 1.45 | Khanna[40] | 2.5 py5 | Khanna[17] |
23 (29/127)1 | Kotowska[157] | 2.14 | Wendt[4] | 5.42 | Vesteinsdottir[73] | |||
60 (1/161)1 | Destura[172] | |||||||
600 (7/120)1 | Ruszczyński[78] | |||||||
800 (10/127)1 | Kotowska[157] | |||||||
Setting | NR | NR | 25% | Khanna[40] | 21% | Garg[178] | ||
Health-care facility associated (HCFA) (% cases) | 46% | Crews[12] | 53% | Leung[179] | ||||
48% | Sammons[44] | 59% | Khanna[17] | |||||
65% | Pai[71] | 68% | Zilberberg[7] | |||||
69% | Sandora[66] | 89% | McFarland[45] | |||||
71% | Tschudin-Sutter[72] | 92% | Kazadova[180] | |||||
74% | Schwartz[176] | |||||||
Community-acquired (CA) (% cases) | NR | NR | 19% | Tschudin-Sutter[72] | 8% | Kazadova[180] | ||
25% | Sandora[66] | 11% | McFarland[121] | |||||
26% | Schwartz[176] | 23% | Zilberberg[7] | |||||
29% | Pai[71] | 27% | Vesteinsdottir[73] | |||||
30% | Samady[68] | 33% | Garg[178] | |||||
39% | Kociolek[177] | 34% | Kutty[87] | |||||
41% | Crews[12] | 41% | Khanna[17] | |||||
52% | Duleba[18] | 43% | Leung[179] | |||||
54% | Sammons[44] | |||||||
67% | Benson[70] | |||||||
71% | Wendt[4] | |||||||
75% | Khanna[40] | |||||||
96% | Søes[43] | |||||||
Long term care facility acquired | NR | NR | NR | -- | 46% | Garg[178] | ||
Age | 18 (4-31) mo | Shan[93] | 49 yr | Lusk[36] | 1.5 yr | Shan[93] | 59 yr | Stevens[173] |
mean (range) | 25 ± 9 mo | Mitchell[85] | 72 yr | Elseviers[37] | 2 yr | Khanna[40] | 61 yr | El Feghaly[182] |
48 mo | Vanderhoof[34] | 2 yr | Chen[167] | 62 yr | Huang[65] | |||
2 yr | Duleba[18] | 64 yr | Muto[59] | |||||
3 yr | Pai[71] | 64 yr | Kim[98] | |||||
3 yr | Hart[54] | 65 yr | Vesteinsdottir[73] | |||||
3-6 yr | Kociolek[177] | 66 yr | McFarland[121] | |||||
4 yr | Kim[115] | 68 yr | Khanna[17] | |||||
5.4 yr | Morinville[100] | 70 yr | McFarland[64] | |||||
6 yr | Sammons[44] | 71 yr | Garg[178] | |||||
6.5 yr | Schwartz[176] | 74 yr | Wenisch[102] | |||||
6.5 yr | Wendt[4] | 74 yr | Tabak[117] | |||||
6.7 yr | Na[13] | 75 yr | Loo[57] | |||||
7 yr | Crews[12] | 77 yr | Eyre[118] | |||||
8 yr | Nylund[181] | |||||||
9 yr | Nylund[14] | |||||||
10 yr | Deshpande[169] | |||||||
Gender | 56% | Vanderhoof[34] | 46% | Elseviers[37] | 39% | Crews[12] | 47% | Kim[98] |
(% female) | 48% | Lusk[36] | 41% | Kociolek[177] | 47% | Loo[57] | ||
42% | Schwartz[176] | 47% | El Feghaly[182] | |||||
46% | Hart[54] | 49% | Carignan[183] | |||||
46% | Khanna[40] | 49% | Muto[59] | |||||
46% | Kim[115] | 49% | Stevens[173] | |||||
46% | Morinville[100] | 53% | Tabak[117] | |||||
47% | Chen[167] | 58% | Eyre[118] | |||||
47% | Wendt[4] | 63% | Garg[178] | |||||
47% | de Blank[69] | 64% | Huang[65] | |||||
48% | Nylund[14] | 64% | Wenisch[102] | |||||
48% | Søes[43] | 64% | Vesteinsdottir[73] | |||||
49% | Sammons[44] | 66% | Fellmeth[75] | |||||
49% | Duleba[18] | 66% | Crabtree[184] | |||||
49% | Pai[71] | 67% | Khanna[17] | |||||
49% | Na[13] | |||||||
Race: | NR | NR | 59% | Sathyendan[38] | NR | |||
Caucasian | 65% | Sammons[44] | ||||||
Outbreaks | n = 18 | Kim[41] | NR | n = 6 | Cartwright[48] | n = 6 | See[185] | |
(number of cases) | n = 6 | Ferroni[47] | n = 15 | Lam[61] | ||||
n = 13 | Kim[41] | n = 21 | Gaynes[55] | |||||
n = 98-174 | Johnson[56] | |||||||
n = 253 | Muto[59] | |||||||
n = 293 | Pépin[58] | |||||||
n = 1269 | Jump[60] | |||||||
n = 1703 | Loo[57] | |||||||
Ribotype | NR | NR | 0% | von Müller[51] | 6.60% | Wenisch[102] | ||
NAP1/027/BI prevalence | 0% | Stoesser[52] | 18% | Scardina[186] | ||||
0% | Sathyendan[38] | 28% | See[107] | |||||
< 1% | Kociolek[177] | 31% | Miller[62] | |||||
< 1% | Søes[43] | 31% | von Müller[51] | |||||
11% | Schwartz[176] | 50% | Toltzis[50] | |||||
11% | Kim[98] | |||||||
19% | Toltzis[50] | |||||||
20% | Duleba[18] |
Data from control group of randomized control trial;
Data from prospective cohort study of hospital or community population;
Data from retrospective review of limited number of hospitals;
Data from population-based surveillance;
Data from retrospective review of national database or several hospitals or population-based;
Data from national point-prevalence survey. References are given by last name of first author and citation number in brackets. ad: Admissions; AAD: Antibiotic-associated diarrhea; CDI: Clostridium difficile infection; d: Discharges; hd: Hospital-days; NR: Not reported; pd: Patient-days; pop: Population; py: Person-years; v: Visits.