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ASID/AICA position statement - infection control guidelines for patients with Clostridium difficile infection in healthcare settings

Stuart, Rhonda L., Marshall, Caroline, McLaws, Mary-Louise, Boardman, Claire, Russo, Philip L., Harrington, Glenys and Ferguson, John K. 2011, ASID/AICA position statement - infection control guidelines for patients with Clostridium difficile infection in healthcare settings, Healthcare infection, vol. 16, no. 1, pp. 33-39, doi: 10.1071/HI11011.

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Title ASID/AICA position statement - infection control guidelines for patients with Clostridium difficile infection in healthcare settings
Formatted title ASID/AICA position statement - infection control guidelines for patients with Clostridium difficile infection in healthcare settings
Author(s) Stuart, Rhonda L.
Marshall, Caroline
McLaws, Mary-Louise
Boardman, Claire
Russo, Philip L.ORCID iD for Russo, Philip L. orcid.org/0000-0003-3822-0554
Harrington, Glenys
Ferguson, John K.
Journal name Healthcare infection
Volume number 16
Issue number 1
Start page 33
End page 39
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2011-03
ISSN 1835-5617
Summary Since 2000 there has been an increase in the rates of Clostridium difficile infection (CDI) in many healthcare facilities in the United States, Canada and Europe. This increase is associated with an epidemic strain of C. difficile and this strain (PCR ribotype 027) has recently been identified in Australia. All healthcare services should have in place an optimal evidence-based program for CDI prevention and control. Management principles include the following.
• All healthcare organisations, including residential aged care facilities, must give CDI prevention and control the highest priority, even if the prevailing incidence of CDI is low.
• Surveillance should be integrated into quality improvement programs to optimise prevention, control and clinical care of CDI.
• Antimicrobial stewardship programs aimed at minimising the frequency and duration of antibiotic use and promoting a narrow spectrum antibiotic policy should be implemented.
• Emphasis should be placed on compliance with hand disinfection using alcohol-based hand rub and glove use for CDI patient care to minimise spore contamination.
• Contact precautions should be in place for symptomatic CDI patients, including the donning of gowns/aprons and gloves on entry to patient rooms.
• The use of sporocidal environmental cleaning and disinfection in high-risk areas such as toilets, bathrooms, and CDI patient rooms should be implemented. There should be the limination of other potential fomites by either using disposable equipment or ensuring that equipment is adequately cleaned and disinfected before re-use.
• Education of all healthcare staff, patients and visitors about C. difficile disease, its prevention and management should be implemented.
Language eng
DOI 10.1071/HI11011
Field of Research 110399 Clinical Sciences not elsewhere classified
1103 Clinical Sciences
1110 Nursing
1117 Public Health And Health Services
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Australian Infection Control Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089785

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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