Infection Prevention Practices, Frontline Training Leads to a Decrease in C Difficile Infections

A multifaceted approach focused on enforcing basic infection prevention practices and promoting teaching about the transmission of Clostridioides difficile (C difficile) led to a reduction in the number of infections in a hospital setting.

A series of interventions that promote frontier training on the dissemination of Clostridioides difficult infections in hospital settings helped reduce cases of hospital onset it is hard infections (HO-CDIs), according to a report published in American Journal of Infection Control.

Cases of transfer of it is hard often attributed to contaminated environmental surfaces, equipment and hands. Preventive practices that have been shown to prevent the transmission of organisms, such as proper hand hygiene (HH), appropriate use of personal protective equipment (PPE), and effective cleaning and low-level disinfection are effective in stopping infection transmission. Although many healthcare facilities have policies that specify this best practice, staff, visitors, and patients are often unaware of them.

To promote education about these practices and reduce HO-CDIs and it is hard transmission, investigators from Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire implemented a multifaceted approach involving a new laboratory test policy, improved cleaning and disinfection of patient rooms, and antibiotic management practices to reduce the use of high-risk antibiotics. The approach implemented training practices for just-in-time staff, visitors, and patients and infection prevention (IP) observations of HH and PPE, as well as monitored the use of appropriate isolation precautions.

All hospitalized patients with an active it is hard infection was identified through positive tests, oral vancomycin reports, and line-listing techniques that made it possible for mitigation strategies to be implemented as early as possible to prevent transmission.

After a patient with CDI was identified, HH with soap and water and PPE compliance at their respective admission site were monitored. An infection-preventing tracer was also completed, which examined mitigation protocol, including appropriate isolation order, visible placement of the contact caution sign, availability of PPE, proper use of PPE, HH compliance, and staff knowledge of it is hard policies for cleaning and low-level disinfection.

Training often took place at the same time as observation to ensure timely feedback to staff, investigators noted. The IP met with the patient’s unit and care team and had a brief conversation about caring for a patient with CDI, answered any questions regarding. it is hard policies. Patients and visitors also received a CDC patient education it is hard, as well as an educational handout sheet for patients and visitors describing preventative strategies they could take while on the facility.

After the implementation of it is hard transmission interventions, investigators observed a 36% decrease in the case of HO-CDIs in the 2018 financial year (49 it is hard events) compared to the financial year 2017 (77 it is hard events). They also observed a 41% decrease in their respective HO-CDI standardized infection ratio, from 1.10 to 0.65 – which was significantly lower than the national benchmark in 2 of the quarters of the financial year 2018. Further reductions were seen in the financial year 2019 ( 43 it is hard events).

When implementing preventive measures against health-related infections such as it is hard, the importance of basic infection prevention principles such as HH, insulation precautions, use of PPE and cleaning should not be overlooked, the authors note.

To provide staff, visitors and patients with frontline training and feedback on transfer of it is hard is essential for the prevention and management of the infectious disease in the healthcare system.


Read ME, Olson AJ, Calderwood MS. Frontline training of infection prevention experts helps reduce Clostridioide’s difficile infections. Am J Infect Control. 2020; 48 (2): 227-229. doi: 10.1016 / j.ajic.2019.08.002


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