Reduced Clostridioides difficile infection in a pragmatic stepped-wedge initiative using admission surveillance to detect colonization.

ABSTRACT:

Background

Clostridioides difficile Infection (CDI) is a persistent healthcare issue. In the US, CDI is the most common infectious cause of hospital-onset (HO) diarrhea.

Objective

Assess the impact of admission testing for toxigenic C. difficile colonization on the incidence of HO-CDI.

Design

Pragmatic stepped-wedge Infection Control initiative.

Setting

NorthShore University HealthSystem is a four-hospital system near Chicago, IL.

Patients

All patients admitted to the four hospitals during the initiative.

Interventions

From September 2017 through August 2018 we conducted a quality improvement program where admitted patients had a peri-rectal swab tested for toxigenic C. difficile. All colonized patients were placed into contact precautions.

Mea

SUBMITTER: Peterson LR 

PROVIDER: S-EPMC7082001 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature