Table 1.

Risk factors for Clostridium difficile infection

Risk factorDetails
AntibioticsAlmost all antibiotics can increase vulnerability to Clostridium difficile infection (CDI), but cephalosporins, fluoroquinolones, clindamycin and certain penicillins (eg co-amoxiclav) increase risk to the greatest extent
Acid-suppressant medicationsBoth proton-pump inhibitors (PPI) and H2-receptor antagonists appear to increase risk (risk is increased with PPI especially)
AgeRates are ten-fold higher in those of >65 years than in the younger population
Hospitalisation•Recent hospitalisation, prolonged hospitalisation (>7 days), and/or prolonged antibiotic courses all increase risk of CDI
•Being admitted to a room where the previous patient had CDI is itself a risk factor for infection
Immunosuppression