Clostridium difficile in Older Adults Curtis J. Donskey, MD  Infectious Disease Clinics  Volume 31, Issue 4, Pages 743-756 (December 2017) DOI: 10.1016/j.idc.2017.07.003 Copyright © 2017 Terms and Conditions

Fig. 1 Typical illustration of acquisition of C difficile on sterile gloves after contact with a CDI on the patient’s groin (A) and the bed rail in the room (B). The larger yellow colonies outlining the fingers are C difficile. (Adapted from Bobulsky GS, Al-Nassir WN, Riggs MM, et al. Clostridium difficile skin contamination in patients with C. difficile-associated disease. Clin Infect Dis 2008;46(1):448; with permission; and Courtesy of Curtis J. Donskey, MD, Cleveland Ohio.) Infectious Disease Clinics 2017 31, 743-756DOI: (10.1016/j.idc.2017.07.003) Copyright © 2017 Terms and Conditions

Fig. 2 Outcomes after establishment of colonization by toxigenic C difficile. (Reprinted from Donskey CJ, Kundrapu S, Deshpande A. Colonization versus carriage of Clostridium difficile. Infect Dis Clin North Am 2015;29(1):18; with permission; and Courtesy of Curtis J. Donskey, MD, Cleveland Ohio.) Infectious Disease Clinics 2017 31, 743-756DOI: (10.1016/j.idc.2017.07.003) Copyright © 2017 Terms and Conditions

Fig. 3 Timing of onset of CDI in LTCF residents in relation to the time of admission to the LTCF from the hospital. (Adapted from Guerrero DM, Nerandzic MM, Jury LA, et al. Clostridium difficile infection in a Department of Veterans Affairs long-term care facility. Infect Control Hosp Epidemiol 2011;32(5):513; with permission; and Courtesy of Curtis J. Donskey, MD, Cleveland Ohio.) Infectious Disease Clinics 2017 31, 743-756DOI: (10.1016/j.idc.2017.07.003) Copyright © 2017 Terms and Conditions