Periop conference clostridium difficile sep 11 2010

What is it? Modes of transmission? Environmental Sources? Control Measures?

Clostridium difficile ,[object Object],[object Object]

Clostridium difficile ,[object Object],[object Object],[object Object]

Overview: Clostridium difficile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pseudo-membranous colitis Healthy colon

New Strain of C.difficile ,[object Object],[object Object]

C.difficile – On the Rise ,[object Object],[object Object],[object Object]

Antibiotics and C. difficile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Proton Pump Inhibitors ,[object Object],[object Object],[object Object],[object Object]

Clinical Manifestation ,[object Object],[object Object],[object Object],[object Object]

Antidiarrheal Agents ,[object Object]

Fulminant Colitis ,[object Object],[object Object]

How can C. difficile -associated disease be spread? ,[object Object],[object Object],[object Object],[object Object]

Hands and Gloved Hands as Sources for Spread ,[object Object],[object Object],[object Object],[object Object],Clinical Infectious Diseases, February 2008.

Transmission Factors ,[object Object],[object Object],[object Object]

Transmission ,[object Object],[object Object],[object Object],[object Object]

How is C. difficile -associated disease diagnosed? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hand Hygiene Key Prevention Measure to Prevent Spread ,[object Object],[object Object],[object Object]

ALCOHOL-BASED HAND RUB Not Effective Against C.difficile ,[object Object],[object Object],[object Object]

SPECIAL CONTACT PRECAUTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object]

Protocol to Discontinue Contact Precautions ,[object Object],[object Object]

Environmental Disinfection ,[object Object],[object Object],[object Object],[object Object],[object Object]

Consider “GloGerm” Studies ,[object Object],[object Object]

Environmental Cleaning Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

New Technology for Decontamination of Environment for C.difficle TruD Ultraviolet C lights www.lumalier.com Zimek Dri-particle mist system www.zimek.com BioQuell Vaporized Hydrogen Peroxide Room Decontaminator www.bioquell.com

Results of Decontamination Nursing Unit with Zimek ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Spencer, M, et al: Investigation of Clostridium difficile Infection (CDI) and Prevention Measures to Prevention Transmission, Massachusetts Organization of Nurse Executives Conference, September 11, 2009 FY10 (Oct-Jul) 7 20542 3.41 5 2.43 2 0.97

Therapy for C. difficile ,[object Object],[object Object],[object Object],[object Object]

Therapy continued….. ,[object Object],[object Object],[object Object],[object Object]

Relapse of C. Difficile ,[object Object],[object Object]

In Summary….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Periop conference clostridium difficile sep 11 2010

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Periop conference clostridium difficile sep 11 2010