1625Evaluation of the Diagnosis and Management of Hospital-Onset Healthcare Facility Associated (HO-HCFA) Clostridium difficile Infection at a Veterans Affairs (VA) Hospital
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529Frequent Transmission of Clostridium Difficile by Asymptomatically Colonized Long-term Care Facility Residents during Hospital Admissions
529. Frequent Transmission of Clostridium Difficile by Asymptomatically Colonized Long-term Care Facility Residents during Hospital Admissions Curtis J. Donskey, MD; Venkata C.K. Sunkesula, MD, MS; Nimalie D. Stone, MD, MS; Carolyn V. Gould, MD, MS; L. Clifford Mcdonald, MD, FACP, FSHEA; Matthew Samore, MD; Jeanmarie Mayer, MD; Susan M. Pacheco, MD; Annette Jencson, BSMT(ASCP)SM, CIC; Susan Sam...
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We determined estimated incidence of and risk factors for community-associated Clostridium difficile infection (CA-CDI) among patients treated at 6 North Carolina hospitals. CA-CDI case-patients were defined as adults (>18 years of age) with a positive stool test result for C. difficile toxin and no hospitalization within the prior 8 weeks. CA-CDI incidence was 21 and 46 per 100,000 person-year...
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Concise Statement. We compared the day of diagnosis of healthcare facility-onset Clostridium difficile with the day of symptom onset to determine the accuracy of our classification. Background. Clostridium difficile (C. difficile) is a publically reportable infection which contributes to 14,000 deaths yearly in the United States. The National Healthcare Safety Network defines healthcare facilit...
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Automated surveillance using electronically available data has been found to be accurate and save time. An automated Clostridium difficile infection (CDI) surveillance algorithm was validated at 4 Centers for Disease Control and Prevention Epicenter hospitals. Electronic surveillance was highly sensitive, specific, and showed good to excellent agreement for hospital-onset; community-onset, stud...
متن کاملInterventions to Reduce the Incidence of Hospital-Onset Clostridium difficile Infection: An Agent-Based Modeling Approach to Evaluate Clinical Effectiveness in Adult Acute Care Hospitals.
Background Despite intensified efforts to reduce hospital-onset Clostridium difficile infection (HO-CDI), its clinical and economic impacts continue to worsen. Many institutions have adopted bundled interventions that vary considerably in composition, strength of evidence, and effectiveness. Considerable gaps remain in our knowledge of intervention effectiveness and disease transmission, which ...
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