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Clostridium Difficile: Reducing Infections Using an Evidence-Based Practice Initiative.

Carol S R Nielsen1, Rocio Sanchez-Vargas1, April Perez1

  • 1Loma Linda University Medical Center.

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|September 21, 2019
PubMed
Summary

A standardized cleaning protocol for high-touch surfaces significantly reduced hospital-acquired Clostridium difficile (C. difficile) infections in oncology units. This initiative improved patient safety by targeting environmental bacterial transmission.

Keywords:
Clostridium difficileevidence-based practicehigh-touch areasnosocomial

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Area of Science:

  • Infection Control
  • Hospital Epidemiology
  • Patient Safety

Background:

  • Nosocomial Clostridium difficile (C. difficile) infections pose a significant risk to immunocompromised hospitalized patients.
  • High-touch surfaces in patient environments are often overlooked and serve as reservoirs for bacterial transmission.
  • Effective environmental cleaning is crucial for preventing healthcare-associated infections.

Purpose of the Study:

  • To evaluate the impact of a standardized protocol for cleaning high-touch surfaces on reducing hospital-acquired C. difficile infections.
  • To assess the feasibility and effectiveness of the 'Five by Five' initiative in an oncology setting.

Main Methods:

  • Implementation of a standardized cleaning protocol targeting five key high-touch surfaces.
  • Education of nursing staff on the protocol and the importance of environmental hygiene.
  • Collection and analysis of C. difficile infection rates before and after the intervention in four medical-surgical oncology units.

Main Results:

  • A statistically significant reduction in C. difficile infections was observed following the implementation of the standardized cleaning initiative.
  • The 'Five by Five' initiative demonstrated effectiveness in decreasing C. difficile infection rates.
  • Nursing staff found the educational component easy to remember and supportive of efficient implementation.

Conclusions:

  • Standardized cleaning protocols for high-touch surfaces are effective in reducing nosocomial C. difficile infections.
  • Environmental hygiene initiatives, when supported by staff education, can enhance patient safety.
  • Targeted cleaning strategies are vital for controlling C. difficile transmission in healthcare settings.