A Multimodal Intervention to Reduce C. difficile Infections and Stool Testing.

ABSTRACT:

Background and objectives

The introduction of multiplex gastrointestinal panels at our institution resulted in increased Clostridioides difficile (C. difficile) detection and stool test utilization. We aimed to reduce hospital-onset C. difficile infections (HO-CDIs), C. difficile detection, and overall stool testing by 20% within 1 year.

Methods

We conducted a quality improvement project from 2018 to 2020 at a large children's hospital. Interventions included development of a C. difficile testing and treatment clinical care pathway, new options for gastrointestinal panel testing with or without C. difficile (results were suppressed if not ordered), clinical decision support tool to restrict testing, and targeted prevention efforts. Outcomes included the rate of HO-CDI (prima

SUBMITTER: Cotter JM 

PROVIDER: S-EPMC11360068 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature