Isolation of patients with Clostridium difficile infection (CDI): Difference between revisions

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=Clostridium difficile transmission=
The two major reservoirs of C. difficile in healthcare settings are infected patients and, since C. difficile can survive in the hospital environment, inanimate objects. C. difficile can be spread by direct and indirect contact with the patient or the patient’s environment.
=Isolation of patients with CDI=
The guideline recommends placing the patient with CD on appropriate contact precautions (CP) and to assign him to a private room with a bathroom that is only for use by that patient (isolation) <Ref>Association for Professionals in Infection Control and Epidemiology [Internet]. Washington, DC:  Association for Professionals in Infection Control and Epidemiology; 2013 [cited January 2016]. Guide to Preventing Clostridium difficile Infections. APIC Implementation Guide. Available at http://apic.org/Resource_/EliminationGuideForm/59397fc6-3f90-43d1-9325-e8be75d86888/File/2013CDiffFinal.pdf</ref>.
Early identification of patients with CDI is the first step in preventing the spread of the disease. For this reason, pre-emptive isolation and CP are recommended for all patients with diarrhea, especially if healthcare-associated.
The best patient placement options should be determined when a private room is unavailable. A possibility is to place patients with CDI in a cohort where CP must always be applied. In the cohort, other actions may be considered, including using spatial separation to reduce the possibility of sharing items.
Isolation of patients with CDI may be discontinued for two days after diarrhea stops. A patient who is cohorted for CDI should be moved to a clean room once diarrhea resolves to prevent re-infection.
=Reference=
<References/>
==FEM Contributors==
* AdrianaCataldo
* Vladimir Prikazsky




[[Category:Infection control interventions]]
[[Category:Infection control interventions]]

Revision as of 19:39, 23 March 2023

Clostridium difficile transmission

The two major reservoirs of C. difficile in healthcare settings are infected patients and, since C. difficile can survive in the hospital environment, inanimate objects. C. difficile can be spread by direct and indirect contact with the patient or the patient’s environment.

Isolation of patients with CDI

The guideline recommends placing the patient with CD on appropriate contact precautions (CP) and to assign him to a private room with a bathroom that is only for use by that patient (isolation) [1]. Early identification of patients with CDI is the first step in preventing the spread of the disease. For this reason, pre-emptive isolation and CP are recommended for all patients with diarrhea, especially if healthcare-associated. The best patient placement options should be determined when a private room is unavailable. A possibility is to place patients with CDI in a cohort where CP must always be applied. In the cohort, other actions may be considered, including using spatial separation to reduce the possibility of sharing items. Isolation of patients with CDI may be discontinued for two days after diarrhea stops. A patient who is cohorted for CDI should be moved to a clean room once diarrhea resolves to prevent re-infection.

Reference

  1. ↑ Association for Professionals in Infection Control and Epidemiology [Internet]. Washington, DC: Association for Professionals in Infection Control and Epidemiology; 2013 [cited January 2016]. Guide to Preventing Clostridium difficile Infections. APIC Implementation Guide. Available at http://apic.org/Resource_/EliminationGuideForm/59397fc6-3f90-43d1-9325-e8be75d86888/File/2013CDiffFinal.pdf

FEM Contributors

  • AdrianaCataldo
  • Vladimir Prikazsky
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