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Infection Control and Hospital Epidemiology· 2026Q1

Trends in population attributable risk of Clostridioides difficile infection associated with common outpatient antibiotics in Ontario, Canada, 2017–2024

Michael K.K. Wong, Nick Daneman, Bradley J. Langford, Valerie Leung et al.

Short summary

Amoxicillin-clavulanate became the leading contributor to community-associated Clostridioides difficile infection (CA-CDI) in Ontario by 2022, surpassing clindamycin, cephalosporins, and fluoroquinolones.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Amoxicillin-clavulanate became the leading contributor to CA-CDI in Ontario by 2022.
  • Contributions from clindamycin, cephalosporins, and fluoroquinolones to CA-CDI declined over the study period (2017-2024).
  • The findings suggest a need to reassess antimicrobial stewardship targets for CA-CDI prevention.
  • The study analyzed data from Ontario, Canada, between 2017 and 2024.

AI-generated from the title and abstract; the full text is not read.

Abstract

Abstract We evaluated changes in population attributable risk of “4C” antibiotics for community-associated Clostridioides difficile infection in Ontario (2017–2024). Contributions from clindamycin, cephalosporins, and fluoroquinolones declined, whereas amoxicillin-clavulanate increased and became the leading contributor by 2022, highlighting a potential emerging target for outpatient antimicrobial stewardship.

The authors' abstract, as published at the source. Infection Control and Hospital Epidemiology, 2026 · DOI ↗

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Field: Infectious Diseases

Infectious DiseasesMedicine