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Clostridium difficile Infection in a Department of Veterans Affairs Long-Term Care Facility

Published online by Cambridge University Press:  02 January 2015

Dubert M. Guerrero
Affiliation:
University Hospitals of Cleveland Case Medical Center, Cleveland, Ohio
Michelle M. Nerandzic
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Lucy A. Jury
Affiliation:
Geriatric Research, Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Shelley Chang
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Robin L. Jump
Affiliation:
Geriatric Research, Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Geriatric Research, Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
*
Geriatric Research, Education and Clinical Center, Louis Stokes Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, OH 44106 (curtisdl23@yahoo.com)

Extract

In a Veterans Affairs medical center, 39% of healthcare facility–onset, healthcare facility-associated Clostridium difficile infections had their onset in the affiliated long-term care facility (LTCF). Eighty-five percent of LTCF-onset patients had been transferred from the hospital within the past month. Delays in diagnosis and treatment were common for LTCF-onset patients.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1. Campbell, RJ, Giljahn, L, Machesky, K, et al. Clostridium difficile infection in Ohio hospitals and nursing homes during 2006. Infect Control Hosp Epidemiol 2009;30(6):526533.Google Scholar
2. Gaynes, R, Rimland, D, Killum, E, et al. Outbreak of Clostridium difficile infection in a long-term care facility: association with gatifloxacin use. Clin Infect Dis 2004;38(5):640645.Google Scholar
3. Kazakova, S, Ware, K, Baughman, B, et al. A hospital outbreak of diarrhea due to an emerging epidemic strain of Clostridium difficile . Arch Intern Med 2006;166(22):25182524.Google Scholar
4. McDonald, LC, Coignard, B, Dubberke, E, et al. Recommendations for surveillance of Clostridium difficile-associated disease. Infect Control Hosp Epidemiol 2007;28(2):140145.Google Scholar
5. Mylotte, J. Surveillance for Clostridium difficile-associated diarrhea in long-term care facilities: what you get is not what you see. Infect Control Hosp Epidemiol 2008;29(8):760763.Google Scholar
6. Chang, HT, Krezolek, D, Johnson, S, Parada, JP, Evans, CT, Gerding, DN. Onset of symptoms and time to diagnosis of Clostridium difficile-associated disease following discharge from an acute care hospital. Infect Control Hosp Epidemiol 2007;28(8):926931.CrossRefGoogle ScholarPubMed
7. Riggs, MM, Sethi, AK, Zabarsky, TF, Eckstein, EC, Jump, RLP, Donskey, CJ. Asymptomatic carriers are a potential source for transmission of epidemic and nonepidemic Clostridium difficile strains among long-term care facility residents. Clin Infect Dis 2007;45(8):992998.Google Scholar
8. Scheurer, D. Diagnostic and treatment delays in recurrent Clostridium diffidle-associated disease. J Hosp Med 2008;3(2):157159.CrossRefGoogle ScholarPubMed
9. Quinn, LK, Chen, Y, Herwaldt, LA. Infection control policies and practices for Iowa long-term care facility residents with Clostridium difficile infection. Infect Control Hosp Epidemiol 2007;28(11):12281232.Google Scholar
10. Roup, BJ, Roche, JC, Pass, M. Infection control program disparities between acute and long-term care facilities in Maryland. Am J Infect Control 2006;34(3):122127.Google Scholar