title: Healthcare-Associated Clostridium difficile Infections and Strain Diversity in Pediatric Hospitals in the Canadian Nosocomial Infection Surveillance Program, 2007-2011.
abstract: Children with healthcare-associated Clostridium difficile infection were identified. The incidence increased from 3.2/10,000 patient days in 2007 to 5.2/10,000 patient days in 2011 (p < 0.001). Of 169 isolates, the most common North American Pulsed-Field (NAP) types were NAP4 (n = 43; (25.4%), and NAP1 (n = 25;14.8%) while 55 (32.6%) were non-assigned NAP types.
authors.affiliation: Children's Hospital of Eastern Ontario, University of Ottawa, Ontario, Canada.
authors.forename: Nicole
authors.initials: N
authors.lastname: Le Saux
authors.affiliation: Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa.
authors.forename: Denise
authors.initials: D
authors.lastname: Gravel
authors.affiliation: National Microbiology Laboratory, Winnipeg, Manitoba, Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: Mulvey
authors.affiliation: Montreal Children's Hospital, McGill University Health Center, Quebec, Canada.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Moore
authors.affiliation: IWK Health Centre and Dalhousie University, Halifax, Nova Scotia, Canada.
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Langley
authors.affiliation: Division of Microbiology, Department of Pediatric Laboratory Medicine, The Hospital for Sick Children, University of Toronto, Ontario, Canada.
authors.forename: Susan
authors.initials: S
authors.lastname: Richardson
authors.affiliation: Montreal Children's Hospital, McGill University Health Center, Quebec, Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Quach
authors.affiliation: Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa.
authors.forename: Kelly Baekyung
authors.initials: KB
authors.lastname: Choi
authors.affiliation: Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Mark
authors.initials: M
authors.lastname: Miller
authors.affiliation: North York General Hospital, North York, Ontario, Canada.
authors.forename: Kevin
authors.initials: K
authors.lastname: Katz
mesh_terms: D000293:Adolescent; D002170:Canada / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D016360:Clostridioides difficile / Q000145:classification; D003015:Clostridium Infections / Q000453:epidemiology*; D003428:Cross Infection / Q000453:epidemiology*; D062665:Epidemiological Monitoring; D006776:Hospitals, Pediatric; D006801:Humans; D015994:Incidence; D007223:Infant
keywords: Clostridium difficile; child; healthcare-associated infection; strain typing