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Updated: Feb 4, 2026

The Use of the Puzzle Box as a Means of Assessing the Efficacy of Environmental Enrichment
Published on: December 29, 2014
Christie Chapman1, Catherine Foley
1Christie Chapman and Catherine Foley are infection preventionists in the Infection Prevention and Clinical Epidemiology Department at University of California San Diego Health, San Diego, Calif.
This article clarifies Clostridium difficile infection (CDI) versus colonization and details CDI reporting regulations. It also covers various CDI testing methods and the crucial role of nurses in specimen submission for accurate C. difficile diagnosis.
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