189. Hospital onset Clostridium difficile infection not a predictor of increased antibiotic use in small hospitals: an evaluation of 54 hospitals Roy Guharoy, PharmD, MBA; Mohamad G. Fakih, MD, MPH; Jeffrey Seggerman, MBA; Angelo Bufalino, PhD; Michelle Heavens, BSN, MHA; Ann Hendrich, RN, PhD; Clinical Excellence, University of Massachusetts Health Care, St. Louis, MO; Infection Prevention and...