6.3 Cross-transmission of C. difficile

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Do curso por The University of North Carolina at Chapel Hill

Infection Prevention in Nursing Homes

121 classificações

The University of North Carolina at Chapel Hill

Infection Prevention in Nursing Homes

121 classificações

Learn about the role of environment in disease transmission and how to implement standard and transmission-based precautions to prevent the spread of antibiotic resistant bacteria and other infections in your facility.

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C. difficile Prevention in Nursing Homes

The goal of this module is to describe the epidemiology and control measures for C. difficile. To obtain CE Credit for this module: Take the Quiz and complete the evaluation at the end of the module, you will be directed to your course completion certificate.

6.1 Epidemiology of C. difficile6:39

6.2 Development of C. difficile Infection6:04

6.3 Cross-transmission of C. difficile8:04

6.4 Control and Prevention of C. difficile9:08

Conheça os instrutores

Evelyn Cook
Associate Director
North Carolina Statewide Program for Infection Control and Epidemiology (SPICE)

The two major reservoirs for C.

difficile in healthcare settings are infected people and

environmental services.

With symptomatic people comprising the major reservoir.

Studies looking at contaminated surfaces in healthcare settings

have demonstrated that room contamination with C.

difficile spores can reach 75% of surfaces in rooms of infected people.

They have also found spores in rooms of people who do not have C.

difficile indicating that cross transmission is occurring.

Not surprisingly,

bathrooms of infected people are also heavily contaminated with C.

difficile spores.

If environmental surfaces in the resident rooms and

bathrooms are not adequately disinfected with an EPA registered sporicidal

disinfectant, these surfaces can play a role in cross-transmission.

C. difficile spores are very hardy in

the environment, and can survive up to five months on surfaces that are not

adequately cleaned and disinfected using and EPA registered sporicidal agent.

There is data to suggest that many surfaces in health care environments

are not adequately cleaned, which increases the risk for

cross transmission even if the person with C.

difficile is no longer in the room.

Patients and health care personnel can transmit and acquire C.

difficile from contact with contaminated surfaces and infected people.

Studies have shown that 25% of healthcare providers' hands are contaminated with C.

difficile spores after caring for infected patients.

If the provider fails to wear gloves and wash their hands properly with soap and

water, this can lead to cross-transmission to other residents, or themselves.

>> Mrs. Houston, I told you, we have to move you to this room to

ensure that the Clostridium difficile does not spread across the entire facility.

I'm sure you don't want anyone to experience the discomfort you've

been experiencing.

I should've let Priscilla help her this time.

>> Well, now Elaine, it won't be so bad to spend a few days here with Ms.?

>> Turner.

>> Ms. Turner.

I'm Dmitri Houston.

I'm Elaine's husband.

We've become, well, regulars here at Sunnyside.

>> Regular?

Well, I would like to be regular.

Isn't that why they put us in this room?

>> Well, kind of.

This is called co-hoarding.

You both have acquired a bad bug called Clostridium difficile, or C.

dif for short.

When we have a bad bug like C.

dif in the facility, we try to put residents with the same bad bug together

so that we can minimize the transmission of the bug across the entire facility.

>> In other words, they've sent us to Siberia.

>> Why don't you two introduce yourselves?

[MUSIC]

>> The best laid plans.

>> What do you mean?

>> Can you keep a secret?

>> Of course.

>> I think my granddaughter works here.

>> What?

What do you mean you think your granddaughter works here?

Don't you know?

>> Not for sure.

It's complicated.

You see, several [INAUDIBLE]

[MUSIC]

And then.

[SOUND] >> That is some story!

>> I told you it's complicated.

I just wanna get everything out in the open before I,

before I- >> Get another infection?

>> [LAUGH] >> [LAUGH]

>> Mrs. Houston, look who I found.

>> Oh, David, you're a sight for sore eyes.

I've missed you.

Oh, this is my new friend Jacqueline.

Jacqueline, this is my grandson David.

>> Hi Jacqueline, nice to meet you.

Sorry it has to be under these circumstances.

>> Oh, Elaine and I are making the best of it.

Aren't we, Elaine?

>> Yes, she's been very kind to put up with my rambling.

>> Oh, Elaine, before I forget, I have something I wanna show you that's gonna

cheer you up and get you excited for the outside world again.

It's my secret family recipe for brownies.

>> Let me take a look at that.

>> Oh! >> That's funny.

Wait a minute.

This is our secret family recipe.

>> What are you talking about?

What other secret family recipe calls for cayenne pepper in the brownies?

>> Ours does.

[MUSIC]

Priscilla, I can't, I've waited for,

I didn't know, but now I think I know,

I just, I don't- >> Elaine spit it out.

>> Priscilla, do you know who this is?

>> Mom?

What are you doing with a picture of my mom?

>> Priscilla, your mom is my daughter, Elizabeth.

We were estranged for many years before she died.

She kept herself away from me.

Kept you away from me from the day you were born.

As time went by the reason for our estrangement faded.

We never spoke again.

[MUSIC]

You have no idea how many years I've wanted,

how long I've waited to be able to find you and to give you my locket.

[MUSIC]

>> Hey, cuz!

>> [LAUGH] Elaine, what's going on?

>> I'll tell you what's going on.

You and your wife have been sneaking around Sunnyside Nursing Home.

Picking up every infection you possibly could, feeling sick,

fighting off illnesses just to get close to me to find out if we're family.

[MUSIC]

Wow, you really do care about me.

[MUSIC]

>> Now can we give grandmother and granddaughter a chance to reconnect?

Everybody just leave Elaine and Priscilla and me alone.

Give us some privacy!

You can pull this curtain for some privacy.

Not that far, not that far.

>> Okay.

[MUSIC]

>> Yes, dear.

I found them all.

Everything is in place, for your return.

[MUSIC]

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