Effectiveness of infection control program in controlling nosocomial Clostridium difficile.
Am J Infect Control
; 26(6): 588-93, 1998 Dec.
Article
em En
| MEDLINE
| ID: mdl-9836844
ABSTRACT
OBJECTIVE:
To report the effectiveness of use of comprehensive infection control measures to reduce the incidence of Clostridium difficile (CD) in an acute-care teaching hospital.METHODS:
All CD infections were reviewed by the infection control coordinator from 1987 to 1996. The Centers for Disease Control and Prevention's nosocomial infection definition was used. CD-inclusion criteria remained unchanged during the study period. Interventions were started in 1990.INTERVENTIONS:
The interventions used were (1) Isolation policy-revision and enforcement, which included universal precautions policy, (2) educational program-monthly to all health care workers, (3) phenolic disinfectant for environmental cleaning, (4) triclosan (0.03%) soap for handwashing, (5) centralization of sterilization department, (6) cart-washer installation, and (7) aggressive surveillance activity.RESULTS:
From 1987 to 1989, before the interventions, a total of 466 CD infections (mean 155 per year) occurred. From 1990 to 1996, after the interventions, 475 infections (mean 67 per year) occurred. Incidence of CD decreased by 60% from 1990 to 1996.CONCLUSION:
The sustained decrease of nosocomial CD during the 7-year period demonstrated the effectiveness of aggressive infection control measures that involve multiple disciplines.
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Base de dados:
MEDLINE
Assunto principal:
Enterocolite Pseudomembranosa
/
Infecção Hospitalar
/
Clostridioides difficile
/
Controle de Infecções
Idioma:
En
Ano de publicação:
1998
Tipo de documento:
Article