Navigation Links
New expert guidelines aim to focus hospitals' infectious diarrhea prevention efforts
Date:5/6/2014

CHICAGO (May 6, 2014) With rates of Clostridium difficile (C. difficile) now rivaling drug-resistant Methicillin-resistant Staphylococcus aureus (MRSA) as the most common bacteria to cause healthcare-associated infections, new expert guidance encourages healthcare institutions to implement and prioritize prevention efforts for this infectious diarrhea. The guidelines are published in the June issue of Infection Control and Hospital Epidemiology.

The new practice recommendations are a part of Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates, a collaborative effort led by the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology, and The Joint Commission.

"The Compendium uses a data-driven approach to focus efforts on strategies most likely to be effective," said Erik Dubberke, MD, MSPH, co-lead author. "Healthcare workers' adherence to these recommendations is vital. Any weak link in the prevention chain can lead to excessive C. difficile cases."

To help combat the highly infectious bacteria, experts recommend creating a multidisciplinary approach that enlists a broad scope of hospital personnel, including leadership, healthcare professionals, lab personnel, pharmacy technicians, environmental services staff, and IT professionals to collaborate and implement effective interventions. Below are recommended strategies for hospitals and other acute care settings.

  • Encourage appropriate antimicrobial use and stewardship. This includes both avoiding antimicrobial exposures if a patient does not require treatment and selecting antibiotics that pose a lower risk for developing C. difficile, when possible. This is distinct from a formal antimicrobial stewardship program, which remains a special approach to antibiotic use.

  • Use contact precautions. Hospitals are urged to treat patients with C. difficile in separate rooms from the general patient population and require healthcare professionals to don gloves and gowns whenever providing care to someone with confirmed C. difficile. It is also recommended that healthcare professionals use dedicated patient care items and equipment in this care.

  • Practice hand hygiene. Because indirect transmission by healthcare professionals may be a major route by which patients acquire C. difficile, implementing protocol on hand hygiene is a crucial part of a successful prevention program. C. difficile differs from other drug-resistant bugs, such as MRSA and vancomycin-resistant Enterococcus (VRE) because it produces spores that are resistant to alcohol-based products. This makes wearing gloves and washing hands with soap and water before every encounter with infected patients extremely important. Hand hygiene protocols should be periodically measured to ensure compliance.

  • Ensure environmental decontamination. Education of environmental support staff, including cleaning crews, is crucial to maintaining effective disinfection.. This includes proper cleaning of patient rooms and furnishings, equipment, and surfaces touched by healthcare professionals and patients.

  • Conduct surveillance and performance measures. Implementing a laboratory-based alert system to provide immediate notification of newly diagnosed patients to clinical personnel will help frontline staff monitor for outbreaks. Additionally, creating reporting systems to capture the burden of the infection at a healthcare facility and assess efficacy of prevention interventions, such as hand hygiene and contact precaution, will help healthcare institutions to continually improve efforts.

The guidelines note several areas that require more research before making recommendations.

  • Requiring use of gowns and gloves by family members and other visitors.
  • Prescribing probiotics as a treatment against C. difficile.
  • Using no touch disinfection technology.
  • Restricting use of gastric acid suppressants.

The 2014 release updates the initial 2008 Compendium publication.


'/>"/>

Contact: Tamara Moore
tmoore@gymr.com
202-745-5114
Society for Healthcare Epidemiology of America
Source:Eurekalert

Related medicine news :

1. Experts Offer Advice After Yankee Pitchers Trampoline Injury
2. NYU Langone experts present research, clinical advances at neurosurgeons meeting
3. Red Tide Likely in New England This Season, Experts Warn
4. No Proof That Gum Disease Causes Heart Disease, Experts Say
5. Leading experts on congenital muscular dystrophy convene at University of Nevada, Reno
6. Glaucoma Need Not Steal Sight, Experts Say
7. Close Laundry Detergent Right After Use, Expert Says
8. Healthy Behaviors Extend Life After Cancer, Experts Say
9. More Babies Today Have Irregular Head Shape: Expert
10. Routine Kidney Disease Screening Not Worthwhile, Experts Say
11. Exercise Twice a Day Vital for Your Dogs Health, Expert Says
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2017)... , ... June 24, 2017 , ... The weather is ... time outdoors. Home and business owners should be aware that the summer months provide ... In fact, mechanical locks and keys can be negatively affected from direct exposure to ...
(Date:6/23/2017)... ... June 23, 2017 , ... The Rhode Island Quality ... Management Alerts and Dashboards, an innovative new service enabling healthcare providers to proactively ... Management Alerts and Dashboards provide near real-time data about patients admitted to and/or ...
(Date:6/23/2017)... , ... June 23, 2017 , ... By scoring 100% ... ninth consecutive four-star rating from premier online charity evaluator, Charity Navigator, validating ANRF's work ... 1% of all charities reviewed by Charity Navigator and earns ANRF a spot on ...
(Date:6/23/2017)... , ... June 24, 2017 , ... Studies show evidence ... reduce the risk of visual loss in these patients. , But how often do ... or smoking cessation to patients at risk of or with early symptoms of AMD? ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... ... plastic surgeon practicing in Newburgh, New York, has recently begun offering three new ... to offering the best cutting-edge procedures and reducing downtime, Dr. Rubinstein is excited ...
Breaking Medicine News(10 mins):
(Date:6/1/2017)... June 1, 2017 Nutriceutical Holdings (NH), parent ... Solutions (VRS), and KD Pharma Group have decided to ... by KD Pharma Group. KD Pharma Group will become ... to acquire the entire company. "We believe ... are committed to growing the NH companies by providing ...
(Date:5/26/2017)... 26, 2017  Endo International plc (NASDAQ: ENDP ... CEO, will represent the Company in a fireside chat at ... Tuesday, June 13, 2017 at 10:40 a.m. PT / 1:40 ... in Rancho Palos Verdes, CA. ... will be available on the Company,s website at http://www.endo.com/investors/overview ...
(Date:5/22/2017)...  As the specialty pharmacy industry and the ... the revolutionary shift from volume-based to value-based care, ... patient outcomes and shaping the future of the ... from clinical trials and toward data that reveals ... therapy utilization in precise patient populations. Therigy ® ...
Breaking Medicine Technology: