Navigation Links
C. difficile epidemic should concern not only hospital patients but people at home
Date:6/16/2014

Without proper infection prevention in hospitals, and now homes, the Clostridium difficile bacteria poses a major health threat, cautions a Case Western Reserve University infection control researcher.

While mainly a concern in hospitals, cases of the C. difficile infection (or C. diff) are on the rise in the community, according to the Centers for Disease Control and Prevention that has seen increased reports of the infected people who have had no contact with hospital patients with the infection. The CDC reported 7.6 people out of 100,000 who had no contact with people with C. diff were getting sick with the illness.

It particularly infects healthy people, and particularly pregnant women, said Irena Kenneley, a Case Western Reserve clinical nurse specialist in infection control and associate professor at the Frances Payne Bolton School of Nursing.

Symptoms of C. diff include continual bouts of diarrhea, severe cramps, swollen stomach and intestinal irritation.

Potentially, the bacteria's toxins can cause ulcers and eventually eat through intestine walls, which allows infection to enter the blood.

Kenneley's American Journal of Nursing article, "Clostridium difficile Infection Is on the Rise," focuses on evidence-based steps recommended by the CDC that nurses and other health care workers, including those who prepare and deliver food, clean facilities or make deliveries, can take to confine the bacteria in hospitals and other settings where someone shows symptoms of the infection. And similar precautions apply at home.

"The article delivers practical advice to nurses and nurse practitioners on infection prevention and control activities in any setting," Kenneley said.

Based on CDC guidelines, she recommends:

  • Isolating the patient (or, if possible, the person at home) when symptoms appear;
  • Appropriate and timely lab testing to determine the type of bacteria present;
  • Treating with appropriate antibiotics;
  • Cleaning thoroughly (using bleach is best);
  • Washing hands to stop the spread of further infections.

That last step, washing hands, is critical for hospital workers, family members and other visitors who have encountered someone with C. diff or is suspected to have contracted the bacteria. It can take up to 96 hours to confirm a C. diff diagnosis. Because of the wait for a diagnosis, isolation of the patient is keya practice similar to hospital protocol for patients with suspected tuberculosis.

Kenneley said these bacteria that can live as hibernating spores up to 100 years on surfaces until conditions are right to proliferate. The stomach and intestines offer that environment, once ingested.

Particularly at risk are people with compromised immune systems (HIV and transplant patients), those who are aging, recovering from gastrointestinal surgeries or are on antibiotics for more than three days to treat other illnesses.

C. diff has proliferated through use of broad-spectrum antibiotics that wipe out the healthy bacteria. A few antibiotics, such as vancomycin and metronidazole, have some success treating the infection, she said.

Poor hand-washing practices allow spores to travel between patients and other surfaces. Hand-washing must occur multiple times during patient care.

Kenneley recommends washing hands before entering a room, any time the hands touch a new surface in the room, and when exiting. And soap is more effective than alcohol-based hand sanitizers or wipes that do not destroy spores, she said.

Although hospitals clean rooms daily and after a patient leaves, some spores may still survive, Kenneley said, which is why the key to prevention is hand-washing.
'/>"/>

Contact: Susan Griffith
susan.griffith@case.edu
216-368-1004
Case Western Reserve University
Source:Eurekalert

Related medicine news :

1. Reporting of hospital infection rates and burden of C. difficile
2. Groundbreaking clinical trial looks at fecal transplant as treatment for C. difficile
3. Dedicated cleaning staff shown to reduce C. difficile contamination in hospital rooms
4. Rhode Island Hospital reduces incidence of hospital-associated C. difficile by 70 percent
5. Fidaxomicin in Clostridium difficile infection: added benefit not proven
6. Low dose antibiotic treatment of C-difficile as effective as high dose in hospital setting
7. Researchers find novel approach for controlling deadly C. difficile infections
8. Use of frozen material for fecal transplant successfully treats C. difficile infection
9. Sanofi Pasteur announces favorable Phase II data for investigational C. difficile vaccine
10. Canada should play a role in addressing the global cancer epidemic
11. NIH scientists link quickly spreading gene to Asian MRSA epidemic
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/1/2017)... ... March 01, 2017 , ... The Industrial Designers Society of America (IDSA) ... awareness of the profession of industrial design (ID) and relaunching "What Is ID?" ... school students and counselors; parents; and the greater public. , Share details and photos ...
(Date:3/1/2017)... Philadelphia, Pennsylvania (PRWEB) , ... March 01, 2017 , ... ... the Bucci Law Firm, filed a civil sex abuse lawsuit in the Circuit Court ... adult males, who have only been identified by their initials. See L.B. and T.B. ...
(Date:3/1/2017)... ... March 01, 2017 , ... Expert on international living and leading a healthy ... Go. , Time & Go app is the ultimate strategic compass that helps users ... management methods enable people to work smarter, not harder, that's why Time & Go ...
(Date:3/1/2017)... ... March 01, 2017 , ... ... special pricing in the month of March for treatments aimed at tightening skin ... features use on Thermage skin tightening, with 30 percent off all Thermage face ...
(Date:3/1/2017)... ... March 01, 2017 , ... “Marriage...God's Way: Key To One ... Key To One Flesh” is the creation of published author Cecilia Chiam, a writer ... Publishing, Cecilia Chiam‘s new book presents solutions to many marital problems with the guidance ...
Breaking Medicine News(10 mins):
(Date:2/28/2017)... 2017 Summary This report provides ... and its partnering interests and activities since 2010. ... The Partnering Deals and Alliance since 2010 report provides ... of the world,s leading life sciences companies. ... ensure inclusion of the most up to date deal ...
(Date:2/28/2017)... 2017 The presence of ... vendor landscape of the  Global Lap on Chips ... high degree of consolidation with the top 8 ... market in 2016. Among these enterprises Danaher Corporation, ... Laboratories enjoy dominance on account of extensive geographical ...
(Date:2/28/2017)... ... Research and Markets has announced the addition of the "Ovarian ... offering. The latest research Ovarian Cancer Drugs Price Analysis ... global Ovarian Cancer market. The research answers the following questions: ... Ovarian Cancer and their clinical attributes? How are they positioned in the ...
Breaking Medicine Technology: