Practice measures for controlling and preventing hospital associated Clostridium difficile infections
| Autor: | James Gasperino, Madhavi Reddy, Daryl Ramai, Aaquib Noorani, Emmanuel Ofori, Andrew Ofosu |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
genetic structures media_common.quotation_subject MEDLINE Psychological intervention 030204 cardiovascular system & hematology Antimicrobial Stewardship 03 medical and health sciences 0302 clinical medicine Hygiene medicine Humans Antimicrobial stewardship 030212 general & internal medicine Intensive care medicine media_common Cross Infection Clostridioides difficile business.industry Dietary management General Medicine Clostridium difficile Hospitals Discontinuation Diarrhea Clostridium Infections medicine.symptom business |
| Zdroj: | Hospital Practice. 47:123-129 |
| ISSN: | 2377-1003 2154-8331 |
| Popis: | Clostridium difficile (CD) is the most common cause of nosocomial diarrhea. We aim to highlight practice measures for controlling and preventing Clostridium difficile infections (CDI) in the hospital setting. Electronic databases including PubMed, MEDLINE, Google Scholar, ClinicalTrials.gov, and Cochrane Databases were searched for human studies that assessed strategic measures for the prevention of CDI. Bundled interventions can effectively reduce the rates of CDI. Current evidence support the implementation antibiotic stewardship programs, hygiene enhancement, dietary management with probiotics, use of copper surfaces, and the cautious use of PPIs. However, current guidelines do not advocate the use of copper, probiotics, or the discontinuation of PPIs as a means for reducing CDI. We review these practical and evidence-based approaches. |
| Databáze: | OpenAIRE |
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