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A Targeted Strategy to Wipe Out Clostridium difficile

Published online by Cambridge University Press:  02 January 2015

Robert Orenstein ,
Kimberly C. Aronhalt ,
James E. McManus Jr  and
Leslie A. Fedraw
Robert Orenstein*
Affiliation:
Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota Mayo Clinic Enterprise Infection Prevention and Control, Mayo Clinic, Rochester, Minnesota
Kimberly C. Aronhalt
Affiliation:
Mayo Clinic Enterprise Infection Prevention and Control, Mayo Clinic, Rochester, Minnesota
James E. McManus Jr
Affiliation:
Environmental Services, Mayo Clinic, Rochester, Minnesota
Leslie A. Fedraw
Affiliation:
Quality Management Services, Mayo Clinic, Rochester, Minnesota
*
Division of Infectious Diseases, Mayo Clinic, Phoenix Campus, 5777 East Mayo Boulevard, Phoenix, AZ 85054 ([email protected])
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Abstract

This study evaluated daily cleaning with germicidal bleach wipes on wards with a high incidence of hospital-acquired Clostridium difficile infection (CDI). The intervention reduced hospital-acquired CDI incidence by 85%, from 24.2 to 3.6 cases per 10,000 patient-days, and prolonged the median time between hospital-acquired CDI cases from 8 to 80 days.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 11 , November 2011 , pp. 1137 - 1139
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1.Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31(5):431–455.CrossRefGoogle Scholar
2.Lewis, T, Griffith, C, Gallo, M, Weinbren, M. A modified ATP benchmark for evaluating the cleaning of some hospital environmental surfaces. J Hosp Infect 2008;69(2):156–163.CrossRefGoogle ScholarPubMed
3.Muto, CA, Blank, MK, Marsh, JW, et al. Control of an outbreak of infection with the hypervirulent Clostridium difficile BI strain in a university hospital using a comprehensive “bundle” approach. Clin Infect Dis 2007;45(10):1266–1273.CrossRefGoogle Scholar
4.Hacek, DM, Ogle, AM, Fisher, A, Robicsek, A, Peterson, LR. Significant impact of terminal room cleaning with bleach on reducing nosocomial Clostridium difficile. Am J Infect Control 2010;38(5):350–353.Google Scholar
5.Riggs, MM, Sethi, AK, Zabarsky, TF, Eckstein, EC, Jump, RL, Donskey, CJ. Asymptomatic carriers are a potential source for transmission of epidemic and non-epidemic Clostridium difficile strains in long-term care facility residents. Clin Infect Dis 2007;45(8):992–998.CrossRefGoogle Scholar
6.Bobulsky, GS, Al-Nassir, WN, Riggs, MM, Sethi, AK, Donskey, CJ. Clostridium difficile skin contamination in patients with Clostridium difficile-associated disease. Clin Infect Dis 2008;46(3):447–450.CrossRefGoogle Scholar
7.Sethi, AK, Al-Nassir, WN, Nerandzic, MM, Bobulsky, GS, Donskey, CJ. Persistence of skin contamination and environmental shedding of Clostridium difficile during and after treatment of C. difficile infection. Infect Control Hosp Epidemiol 2010;31(1):21–27.CrossRefGoogle ScholarPubMed
8.Mayfield, JL, Leet, T, Miller, J, Mundy, LM. Environmental control to reduce transmission of Clostridium difficile. Clin Infect Dis 2000;31(4):995–1000.CrossRefGoogle Scholar