{"id":4834,"date":"2016-04-13T00:00:00","date_gmt":"2016-04-13T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/04\/13\/c-diff-protocol-good-for-patients\/"},"modified":"2024-07-17T10:11:26","modified_gmt":"2024-07-17T16:11:26","slug":"c-diff-protocol-good-for-patients","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/c-diff-protocol-good-for-patients\/","title":{"rendered":"Nurse-driven C. diff protocol good for patients"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-29292 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled.webp\" alt=\"memorial hospital, which started a new nurse-driven C. diff protocol.\" width=\"640\" height=\"428\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled.webp 1498w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled-1024x684.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled-768x513.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/02\/17123854\/UCHealth_Memorial_Hospital_Central_Sunrise-scaled-200x134.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/>Memorial Hospital has adopted a new nurse-driven protocol to more efficiently identify patients who have Clostridium difficile \u2013 C. diff. \u2013 and the hospital is using a new disinfectant to kill the spores that the organism produces.<\/p>\n<p>While hospital-associated C. diff infections are on the rise in hospitals across the nation, the number is actually trending downward at Memorial.<\/p>\n<p>Memorial\u2019s infection prevention manager, Phyllis Woods, said that when a patient comes in with diarrhea \u2013 a key indicator of C. diff \u2013 and there is no other recognized cause, the test should be performed as soon as possible.<\/p>\n<p>Problems can occur when a patient presents with diarrhea with no other recognized cause and the test is ordered greater than four days after admission. The way the <a href=\"https:\/\/www.cdc.gov\/c-diff\/\" target=\"_blank\" rel=\"noopener noreferrer\">CDC defines<\/a> the criteria if the patient tests positive for C. diff outside the four-day window, the hospital gets tagged with an HO &#8211; healthcare onset \u2013 even if the patient likely had C.diff upon admission.<\/p>\n<p>\u201cIn other words, it looks like the infection came from the hospital when, in fact, the patient may have actually arrived at the hospital with C. diff,\u2019\u2019 Woods said.<\/p>\n<p>Now, a new nurse protocol allows a nurse to test a patient who comes in with diarrhea immediately. The sooner the infection is discovered, the sooner it can be treated, and special precautions initiated to protect other patients and staff.<\/p>\n<p>Research shows a direct correlation between the overuse of antibiotics and C. diff infections. Antibiotic use in the United States is widespread. Although the U.S. accounts for only 4.6 percent of the world\u2019s population, the nation uses 46 percent of the antibiotics prescribed worldwide.<\/p>\n<p>While antibiotics are extremely useful, they should only be prescribed for the right reason.<\/p>\n<p>\u201cThe public has to be educated about this,\u2019\u2019 Woods said. \u201cThe general public perceives that receiving antibiotics is a normal part of treatment.\u00a0 Sometimes, it may not be necessary and in some cases, the drug may actually cause problems.\u2019\u2019<\/p>\n<p>Antibiotics, Woods said, disrupt the normal bacterial flora in a person\u2019s intestines. Antibiotics may kill off some of the important flora, causing the bacteria known as C. diff to multiply rapidly. As the C. diff multiplies, it releases toxins that attack the lining of the intestines. A C. diff infection can range from mild to severe and even life-threatening.<\/p>\n<p>Ironically, the treatment for someone who has C. diff is another antibiotic \u2013 one that is different from the antibiotic that caused the original C. diff infection.<\/p>\n<p>When infection prevention learns that a patient in the hospital has C. diff, they immediately begin looking for common denominators.<\/p>\n<p>\u201cIs there a room that has been implicated, though we have never found a casual association between the two here,\u2019\u2019 she said.<\/p>\n<p>Infection prevention notifies Environmental Services. In January, Memorial began to use a new sporicidal disinfectant, <a href=\"https:\/\/www.uchealth.org\/today\/robot-could-be-key-to-fighting-tough-bacteria\/\">Perisept<\/a>.<\/p>\n<p>\u201cWe are using it exclusively in C. diff rooms because it has a two-minute kill time for spores. C diff can be a normal inhabitant of the gut, and it is a vegetative bacteria when it is inside the gut, but when it is exposed to air, it becomes a tough little spore,\u2019\u2019 Woods said.<\/p>\n<p>\u201cEnvironmental Services stops using the regular hospital-grade disinfectant, and they go to Perisept,\u2019\u2019 she said.<\/p>\n<p>Woods said it is important to identify any potential C. diff infections at the earliest opportunity. Infections like these harm patients, increase length of stay and hospital costs.<\/p>\n<p>All of Memorial\u2019s departments have been trained on the new nurse-driven protocol and staff have been educated to use soap and water on those patients who have C. diff because the friction removes the bio-burden from hands, Woods said.<\/p>\n<p>\u201cWe\u2019ve just begun these protocols, so the desired outcome might take time before we see results, but this is something that has our full commitment,\u2019\u2019 Woods said.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Memorial Hospital has adopted a new nurse-driven protocol to more efficiently identify patients who have Clostridium difficile \u2013 C. diff. \u2013 and the hospital is using a new disinfectant to kill the spores that the organism produces. While hospital-associated C. diff infections are on the rise in hospitals across the nation, the number is actually [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":29292,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[73,582,1086,162,55],"class_list":["post-4834","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-antibiotics","tag-c-diff","tag-clostridium-difficile","tag-infectious-diseases","tag-memorial-hospital"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - 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