Abstract
Clostridioides difficile is a leading cause of healthcare-associated infections. The main objective was to assess the current landscape of CDI infection prevention and control (IPC) practices. An anonymous survey of IPC practices for CDI was conducted between July 25 and October 31, 2022. Precautions for symptomatic patients were applicable for 75.9% and were discontinued 48 h minimum after the resolution of diarrhea for 40.7% of respondents. Daily cleaning of CDI patients’ rooms was reported by 23 (42.6%). There was unexpected heterogeneity in IPC practices regarding the hospital management of CDI.
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References
Viprey VF, Granata G, Vendrik KEW, Davis GL, Petrosillo N, Juijper EJ et al (2023) European survey on the current surveillance practices, management guidelines, treatment pathways and heterogeneity of testing of Clostridioides difficile, 2018–2019: results from The Combatting Bacterial Resistance in Europe CDI (COMBACTE-CDI). J Hosp Infect 131:213–220. https://doi.org/10.1016/j.jhin.2022.11.011
Tschudin-Sutter S, Kuijper EJ, Durovic A, Vehreschild MJGT, Barbut F, EckertC, et al (2018) Guidance document for prevention of Clostridium difficile infection in acute healthcare settings. Clin Microbiol Infect 24(10):1051–1054. https://doi.org/10.1016/j.cmi.2018.02.020
McDonald LC, Gerding DN, Johnson S, Bakken JS, Carroll KC, Coffin SE et al (2018) Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clin Infect Dis 66(7):987–994. https://doi.org/10.1093/cid/ciy149
Skally M, Bennett K, Burns K, Brennan R, Finn C, O’Connell K et al (2023) A decade of Clostridioides difficile infection: a constant challenge to maintain the status quo. J Hosp Infect 135:59–66. https://doi.org/10.1016/j.jhin.2023.02.008
Kiersnowska ZM, Lemiech-Mirowska E, Semczuk K, Michalkiewicz M, Sierocka A, Marczak M (2021) Level of Knowledge of Medical Staff on the Basis of the Survey in Terms of Risk Management, Associated with Clostridioides difficile Infections. Int J Environ Res Public Health 18(13):7060. https://doi.org/10.3390/ijerph18137060
Ngam C, Schoofs Hundt A, Haun N, carayon P, Stevens L, Safdar A, (2017) Barriers and facilitators to Clostridium difficile infection prevention: A nursing perspective. Am J Infect Control 45(12):1363–1368. https://doi.org/10.1016/j.ajic.2017.07.009
Musuuza JS, Hundt AS, Carayon P, Christensen K, Ngam C, Haun N et al (2019) Implementation of a Clostridioides difficile prevention bundle: Understanding common, unique, and conflicting work system barriers and facilitators for subprocess design. Infect Control Hosp Epidemiol 40(8):880–888. https://doi.org/10.1017/ice.2019.150
Sethi AK, Al-Nassir WN, Nerandzic MM, Donskey CJ (2009) Skin and environmental contamination with vancomycin-resistant Enterococci in patients receiving oral metronidazole or oral vancomycin treatment for Clostridium difficile-associated disease. Infect Control Hosp Epidemiol 30(1):13–17. https://doi.org/10.1086/592710
Kiersnowska ZM, Lemiech-Mirowska E, Michałkiewicz M, Marczak M (2021) Hand hygiene as the basic method of reducing Clostridium difficile infections (CDI) in a hospital environment. Ann Agric Environ Med 28(4):535–540. https://doi.org/10.26444/aaem/131121
Shrestha SK, Sunkesula VC, Kundrapu S, Tomas ME, Nerandzic MM, Donskey CJ (2016) Acquisition of Clostridium difficile on Hands of Healthcare Personnel Caring for Patients with Resolved C. difficile Infection. Infect Control Hosp Epidemiol 37(4):475–457. https://doi.org/10.1017/ice.2015.335
Landelle C, Verachten M, Legrand P, Girou E, Barbut F, Brun-Buisson C (2014) Contamination of healthcare workers’ hands with Clostridium difficile spores after caring for patients with C. difficile infection. Infect Control Hosp Epidemiol 35(1):10–15. https://doi.org/10.1086/674396
Mana TSC, Tomas ME, Cadnum JL, Jencson AL, Piedrahita CT, Donskey CJ (2018) A Randomized Trial of Two Cover Gowns Comparing Contamination of Healthcare Personnel During Removal of Personal Protective Equipment. Infect Control Hosp Epidemiol 39(1):97–100. https://doi.org/10.1017/ice.2017.249
Otter JA, Yezli S, Salkeld JAG, French GL (2013) Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings. Am J Infect Control 41(5 Suppl):S6–S11. https://doi.org/10.1016/j.ajic.2012.12.004
Kabała M, Aptekorz M, Martirosian G (2019) The role of hospital environment and the hands of medical staff in the transmission of the Clostridioides (Clostridium) difficile infection. Med Pr 70(6):739–745. https://doi.org/10.13075/mp.5893.00856
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The authors would like to acknowledge Patrick Kudyba, ESCMID for the survey diffusion.
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Conceptualization and statistical analysis: NK. Writing—original draft: NK. Writing—review and editing (alphabetic order): FB, KD, FF, BG, MK, and PV.
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NK received scientific grants and/or consultation fees from Abbott, Astellas, BioMérieux, FINOVI, Sanofi Pasteur, and Tillotts Pharma; FF has received research grant support and been a recipient of a consultancy fee from Tillots Pharma; FB is an advisory board member for and/or has received scientific grants from Abbott, Astellas, BioMérieux, Cepheid, Cubist, Da Volterra, Danone, EliTech, Merck, Pfizer, Quidel, Sanofi Pasteur, Summit, and Tillotts Pharma; MK has no conflicts of interests; KD has received honorarium from Tillots Pharma and scientific grants from Alere, Cepheid, BioMérieux, and Techlab Ltd; BG is an advisory board member for and/or has received scientific grants from Pfizer and Tillots Pharma and PV received consulting grants from MSD, BD, Pfizer, and Tillots Pharma.
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Khanafer, N.L., Fitzpatrick, F., Barbut, F. et al. Heterogeneity in practices to reduce the risk of transmission of Clostridioides difficile in healthcare settings: a survey of ESCMID Study Group for Clostridioides difficile (ESGCD) members. Eur J Clin Microbiol Infect Dis 43, 785–789 (2024). https://doi.org/10.1007/s10096-024-04767-1
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DOI: https://doi.org/10.1007/s10096-024-04767-1