Features | Partner Sites | Information | LinkXpress
Sign In
Schiller
Shuenn Bao Shing Corporation
SOREDEX

Hospital-Acquired C. Diff Incidence Reduced by Multidisciplinary Approach

By HospiMedica International staff writers
Posted on 16 Jul 2013
A hospital reduced the incidence of hospital-associated Clostridium difficile infections by 70% and reduced annual associated mortality in patients with hospital-associated C. difficile by 64% through successive implementation of five rigorous interventions.

To measure and reduce the incidence of hospital-acquired C. difficile, a multistep process based on a risk assessment was implemented and developed. Additional data sets were monitored including associated mortality and morbidity as measured by C. difficile-related colectomies. The sensitivity of C. difficile toxin detection in stool specimens was improved to reduce false-negative results. Environmental cleaning of patient rooms and equipment was enhanced.

Investigators at Rhode Island Hospital (Providence, RI, USA; www.rhodeislandhospital.org) monitored the number of C. difficile infections per 1,000 hospital discharges from the second quarter of 2006 to the third quarter of 2012, and found that hospital-associated C. difficile infections were reduced from a peak of 12.2 per 1,000 to 3.6 per 1,000 discharges. Additionally, the mortality in patients associated with this infection was reduced from a peak of 52 in 2006 to 19 in 2011, and by the end of the third quarter of 2012, that number was down to 13.

"This is a significant, hospital-wide effort involving the support of hospital administration, the department of epidemiology and infection control, nursing, medicine, surgery, pathology, pharmacy, environmental services, and the microbiology lab. It is truly a multidisciplinary effort to make the hospital safer for our patients, their families and our staff," said Leonard Mermel, DO, medical director of the department of epidemiology and infection control at Rhode Island Hospital.

"By working together to better monitor those patients at risk, enhance the cleaning of patient rooms and equipment, and to use contact precautions as appropriate, we were able to significantly reduce the risk of this virulent infection and ultimately to provide better, safer patient care."

According to the Centers for Disease Control and Prevention (CDC, Atlanta, GA, USA; www.cdc.gov) 94% of C. difficile infections are related to receiving medical care, and hospital stays from this infection tripled in the last decade, posing a patient safety threat especially harmful to older Americans. The infection causes diarrhea linked to 14,000 American deaths each year.

The results of the rigorous multidisciplinary approach that resulted in fewer infections as well as deaths associated with hospital-onset C. difficile were reported in the July 2013 issue of the Joint Commission Journal on Quality and Patient Safety.

Related Links:

Rhode Island Hospital
Centers for Disease Control and Prevention



Armstrong Medical Industries
Asian Healthcare Show
CardioComm Solutions

Channels

Women's Health

view channel

Women with PTSD Face Higher Pregnancy Risk

Suffering from post-traumatic stress disorder (PTSD) significantly increases a pregnant woman's risk of premature birth, according to a new study. Researchers at Stanford University (CA, USA) conducted a study to identify antenatal PTSD status and spontaneous preterm delivery in a retrospective cohort (2000-2012).... Read more

Health IT

view channel
Image: A screenshot from the 'cat and mouse' game designed to treat amblyopia (Photo courtesy of Ohio State University).

Video Games Help Improve Vision Training

New video games add an important element of entertainment to the repetitive training needed to improve vision in people with ambylopia (lazy eye) and poor depth perception. Developed by researchers... Read more

Hospital News

view channel
Image: Proposed site of the new University of Canberra Public Hospital (Photo courtesy of ACT).

New Hospital Planned at the University of Canberra

The government of the Australian Capital Territory (ACT, Canberra, Australia) has signed an agreement with University of Canberra (UC; Australia) to build a new hospital on its campus. The new UC Public... Read more

Business

view channel

Staff Shortages Driving Patient Monitoring Device Sector

Staff shortages and reductions are driving sales of patient monitoring systems with remote or wireless reporting functions. These are the latest findings of Kalorama Information (New York, NY, USA), an independent medical market research firm. While patient monitoring includes all products and services that facilitate... Read more
 
Copyright © 2000-2014 Globetech Media. All rights reserved.