In order to implement a program to eliminate Clostridium difficile infection (CDI) the following implementation plan will require the actionable steps. The following checklist was adapted from the core prevention strategies recommended by the CDC.1
- Hospital governance and senior administrative leadership must champion efforts in raising awareness to prevent and safely manage C. diff infections.
- Implementation of antimicrobial stewardship programs can prevent and/or minimize infection rates in healthcare settings. Refer to APSS #3A.
- Contact Precautions for duration of diarrhea.
- Comply with Hand hygiene as described in APSS #2A.
- Clean and disinfect equipment and environment.
- Use a laboratory-based alert system for immediate notification of positive test results.
- Implement technologies that support proper surface cleaning and utilize as part of a defined environmental control best practice program:
- Such as Clorox® Healthcare Bleach Germicidal Wipes or Xenex® UV Light Disinfection System.
- Educate healthcare providers, housekeeping, administration, patients and families about CDI.
- Encourage continuous process improvement through the implementation of quality process measures and metrics.
- All CDIs should have a root cause analysis (RCA) completed by the unit where the infection occurred with multidisciplinary participation including nursing, physicians and infection prevention specialists. All learnings from the RCA should be implemented.
Between the 2017 World Patient Safety, Science & Technology Summit and the 2017 Midyear Planning Meeting a workgroup comprised of experts representing administrators, clinicians, technologists and patient advocates will meet to update this APSS. If you are interested in joining this workgroup, please email us.