Surveillance of Clostridium (Clostridioides) difficile infection (CDI) in long-term care facilities (LTCFs) will help determine CDI burden in LTCFs, evaluate infection trends, and detect outbreaks. Surveillance will also help determine the efficacy of infection control and antibiotic stewardship programs implemented to prevent the occurrence of CDI. This chapter describes the various methods used for CDI surveillance in LTCFs and the strengths and drawbacks of each of these methods.
Clostridium (Clostridioides) difficileSurveillance Laboratory-identified event Long-term care facility
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Smith PW, et al. SHEA/APIC guideline: infection prevention and control in the long-term care facility, July 2008. Infect Control Hosp Epidemiol. 2008;29(9):785–814.CrossRefGoogle Scholar
Centers for Disease Control and Prevention. Laboratory-identified multidrug-resistant organism (MDRO) & Clostridium difficile infection (CDI) events for long-term care facilities (LTCFs).Google Scholar
McDonald LC, et al. 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. 2018;66(7):e1–e48.CrossRefGoogle Scholar
Palms DL, et al. The National Healthcare Safety Network Long-term Care Facility Component early reporting experience: January 2013–December 2015. Am J Infect Control. 2018;46(6):637–42.CrossRefGoogle Scholar
Stone ND. Post-Acute and Long Term Care: the changing national landscape. Presented at SHEA Spring Conference 2018.Google Scholar
Laffan AM, et al. Burden of Clostridium difficile-associated diarrhea in a long-term care facility. J Am Geriatr Soc. 2006;54(7):1068–73.CrossRefGoogle Scholar
Gaynes R, et al. Outbreak of Clostridium difficile infection in a long-term care facility: association with gatifloxacin use. Clin Infect Dis. 2004;38(5):640–5.CrossRefGoogle Scholar
Gase KA, et al. Comparison of 2 Clostridium difficile surveillance methods: National Healthcare Safety Network’s laboratory-identified event reporting module versus clinical infection surveillance. Infect Control Hosp Epidemiol. 2013;34(3):284–90.CrossRefGoogle Scholar
Kelly SG, et al. Inappropriate Clostridium difficile testing and consequent overtreatment and inaccurate publicly reported metrics. Infect Control Hosp Epidemiol. 2016;37(12):1395–400.CrossRefGoogle Scholar
Han A, Jump RL. Discrepancies between surveillance definition and the clinical incidence of Clostridium difficile infection in a Veterans Affairs long-term care facility. Infect Control Hosp Epidemiol. 2014;35(11):1435–6.CrossRefGoogle Scholar