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Effectiveness of Routine Patient Bathing to Decrease the Burden of Spores on the Skin of Patients with Clostridium difficile Infection

Published online by Cambridge University Press:  02 January 2015

Lucy A. Jury ,
Dubert M. Guerrero ,
Christopher J. Burant ,
Jennifer L. Cadnum  and
Curtis J. Donskey
Lucy A. Jury
Affiliation:
Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Dubert M. Guerrero
Affiliation:
Department of Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Christopher J. Burant
Affiliation:
Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio School of Nursing, Case Western Reserve University, Cleveland, Ohio
Jennifer L. Cadnum
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Geriatric Research Education and Clinical Center, 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)
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Abstract

For 74 patients with Clostridium difficile infection, the quality and frequency of bathing was often limited because of such factors as the presence of devices, decreased mobility, and pain. Routine bathing practices had limited efficacy in decreasing the burden of spores on skin; however, showers were more effective than bed baths.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 2 , February 2011 , pp. 181 - 184
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1. Kim, KH, Fekety, R, Batts, DH, et al. Isolation of Clostridium difficile from the environment and contacts of patients with antibiotic-associated colitis. J Infect Dis 1981;143:42–50.Google Scholar
2. McFarland, LV, Mulligan, ME, Kwok, RY, Stamm, WE. Nosocomial acquisition of Clostridium difficile infection. N Engl J Med 1989;320:204–210.CrossRefGoogle ScholarPubMed
3. Bobulsky, GS, Al-Nassir, WN, Riggs, MM, Sethi, AK, Donskey, CJ. Clostridium difficile skin contamination in patients with C. difficile-associated disease. Clin Infect Dis 2008;46:447–450.Google Scholar
4. Sethi, AK, Al-Nassir, WN, Nerandzic, MM, Bobulsky, GS, Donskey, CJ. Persistence of skin contamination and environmental shedding of Clostridium difficile during and after treatment of C. difficile infection. Infect Control Hosp Epidemiol 2010;31:21–27.Google Scholar
5. Popovich, KJ, Hota, B, Hayes, R, Weinstein, RA, Hayden, MK. Effectiveness of routine patient cleansing with Chlorhexidine gluconate for infection prevention in the medical intensive care unit. Infect Control Hosp Epidemiol 2009;30:959–963.CrossRefGoogle ScholarPubMed
6. Vernon, MO, Hayden, MK, Trick, WE, Hayes, RA, Blom, DW, Weinstein RA; Chicago Antimicrobial Resistance Project. Chlorhexidine gluconate to cleanse patients in a medical intensive care unit: the effectiveness of source control to reduce the bio-burden of vancomycin-resistant enterococci. Arch Intern Med 2006;166:306–312.Google Scholar
7. Climo, M, Sepkowitz, K, Zuccotti, G, et al. The effect of daily bathing with Chlorhexidine on the acquisition of methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococ-cus, and healthcare-associated bloodstream infections: results of a quasi-experimental multicenter trial. Crit Care Med 2009;37:1858–1865.Google Scholar
8. Oughton, MT, Loo, VG, Dendukuri, N, Fenn, S, Libman, MD. Hand hygiene with soap and water is superior to alcohol rub and antiseptic wipes for removal of Clostridium difficile . Infect Control Hosp Epidemiol 2009;30:939–944.Google Scholar
9. Bergstrom, N, Demuth, P, Braden, B. A clinical trial of the Braden Scale for Predicting Pressure Sore Risk. Nurs Clin North Am 1987;22:417–428.Google Scholar
10. Nerandzic, M, Donskey, C. Effective and reduced-cost modified selective medium for isolation of Clostridium difficile . J Clin Microbiol 2009;47:397–400.Google Scholar
11. Jabbar, U, Leischner, J, Kasper, D, et al. Effectiveness of alcohol-based hand rubs for removal of Clostridium difficile spores from hands. Infect Control Hosp Epidemiol 2010;31:565–570.Google Scholar
12. Edmunds, S, Kasper, D, Zapka, C, et al. Clostridium difficile and hand hygiene: spore removal effectiveness of handwash products. In: Program and abstracts of the 19th Annual Meeting of the Society for Healthcare Epidemiology of America. Arlington, VA: Society for Healthcare Epidemiology of America, 2009. Abstract 42.Google Scholar