Clostridioides difficile nurse driven protocol: A cautionary tale

•Maintaining high protocol fidelity is the key to protocol success.•Diagnostic stewardship must be upheld to reduce Clostridioides difficile infections.•Antimicrobial and diagnostic stewardship comprise the core of infection prevention. In a 12-month study, a nurse driven protocol was implemented at...

Full description

Saved in:
Bibliographic Details
Published in:American journal of infection control 2020-01, Vol.48 (1), p.108-111
Main Authors: Kavazovic, Ariana, Fleming, Michele S., Knowlson, Shelley, Doll, Michelle, Cooper, Kaila D., Hemphill, Robin R., Pryor, Rachel J., Godbout, Emily J., Stevens, Michael P., Bearman, Gonzalo
Format: Article
Language:English
Subjects:
Academic Medical Centers
Antibiotic stewardship
C difficile
Clostridioides difficile
Clostridium Infections - microbiology
Clostridium Infections - nursing
Cross Infection - prevention & control
Diagnostic stewardship
Diarrhea - microbiology
Diarrhea - nursing
Enterocolitis, Pseudomembranous - microbiology
Enterocolitis, Pseudomembranous - nursing
Humans
Incidence
Infection Control - organization & administration
Infection prevention
Nursing Service, Hospital
Patient Isolation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•Maintaining high protocol fidelity is the key to protocol success.•Diagnostic stewardship must be upheld to reduce Clostridioides difficile infections.•Antimicrobial and diagnostic stewardship comprise the core of infection prevention. In a 12-month study, a nurse driven protocol was implemented at a tertiary academic medical center. The purpose of the nurse driven protocol was to identify community-onset Clostridioides difficile infections, expeditiously isolate patients with presumed C difficile diarrheal illness, and prevent transmission while simultaneously decreasing the incidence of hospital-onset C difficile. The overall adherence to fidelity of the protocol was poor and failed to have a significant impact on infection rates.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2019.06.010