We have located links that may give you full text access.
EVALUATION STUDIES
JOURNAL ARTICLE
Designing a protocol that eliminates Clostridium difficile: a collaborative venture.
American Journal of Infection Control 2007 June
BACKGROUND: Clostridium difficile is a health care-associated pathogen that is difficult to eradicate in the health care environment through the use of common hospital disinfectants. Many of these disinfectants fail to inactivate C difficile spores, which can result in patient-to-patient transmission. This study demonstrates that the use of 10% hypochlorite solution, along with interventions, reduced the incidence of health care-associated C. difficile infection.
METHODS: A case-only study was conducted over a 24-month period. Interventions used to reduce the incidence of health care-associated C difficile included 10% hypochlorite disinfection, soap and water hand hygiene, contact isolation for suspected and confirmed cases, educational tool for patients and visitors, daily isolation rounds, automated report functions, and standardized nursing unit isolation processes. The microbiology method that was used to isolate the C difficile organism for DNA typing included a minimum of 1 mL of stool placed in a conical screw top tube, and then an equal volume of 95% ethyl alcohol was added to the tube. Prereduced blood agar plates were inoculated with the treated and untreated specimen. Plates were incubated anaerobically for 48 hours at 37 degrees C. Plates were examined for gray, flat colonies and gram stains performed; further testing was performed only on gram-positive rods.
RESULTS: A 66% reduction in the number of health care-associated C difficile cases was achieved during the study. A total of 25 isolates was DNA typed per pulse-field gel electrophoresis. Two distinct genetic patterns were identified. Results yielded that the Florida isolates also had the epidemic strain of the organisms that was noted in Quebec, Canada and other parts of the United States.
CONCLUSION: A combination of automated daily isolation reports, use of a standardized methodology for isolation rounds, as well as development of a 10% hypochlorite disinfection protocol resulted in a dramatic decrease in health care-associated C difficile cases. Weekly nursing director reports and daily rounds by nursing leadership keep the direct line supervisors abreast of infection control issues on their respective nursing units. The addition of the dual-chamber bleach container ensured that the proper dilution was achieved when disinfecting reusable equipment.
METHODS: A case-only study was conducted over a 24-month period. Interventions used to reduce the incidence of health care-associated C difficile included 10% hypochlorite disinfection, soap and water hand hygiene, contact isolation for suspected and confirmed cases, educational tool for patients and visitors, daily isolation rounds, automated report functions, and standardized nursing unit isolation processes. The microbiology method that was used to isolate the C difficile organism for DNA typing included a minimum of 1 mL of stool placed in a conical screw top tube, and then an equal volume of 95% ethyl alcohol was added to the tube. Prereduced blood agar plates were inoculated with the treated and untreated specimen. Plates were incubated anaerobically for 48 hours at 37 degrees C. Plates were examined for gray, flat colonies and gram stains performed; further testing was performed only on gram-positive rods.
RESULTS: A 66% reduction in the number of health care-associated C difficile cases was achieved during the study. A total of 25 isolates was DNA typed per pulse-field gel electrophoresis. Two distinct genetic patterns were identified. Results yielded that the Florida isolates also had the epidemic strain of the organisms that was noted in Quebec, Canada and other parts of the United States.
CONCLUSION: A combination of automated daily isolation reports, use of a standardized methodology for isolation rounds, as well as development of a 10% hypochlorite disinfection protocol resulted in a dramatic decrease in health care-associated C difficile cases. Weekly nursing director reports and daily rounds by nursing leadership keep the direct line supervisors abreast of infection control issues on their respective nursing units. The addition of the dual-chamber bleach container ensured that the proper dilution was achieved when disinfecting reusable equipment.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app