Clostridioides difficile nurse driven protocol: A cautionary tale - 25/12/19
, Michele S. Fleming, MSN, RN, CIC a, Shelley Knowlson, MSN, RN, ACCNS-AG a, Michelle Doll, MD, MPH a, Kaila D. Cooper, MSN, RN, CIC a, Robin R. Hemphill, MD, MPH a, Rachel J. Pryor, MPH, RN a, Emily J. Godbout, DO, MPH b, Michael P. Stevens, MD, MPH a, Gonzalo Bearman, MD, MPH aHighlights |
• | Maintaining high protocol fidelity is the key to protocol success. |
• | Diagnostic stewardship must be upheld to reduce Clostridioides difficile infections. |
• | Antimicrobial and diagnostic stewardship comprise the core of infection prevention. |
Résumé |
In a 12-month study, a nurse driven protocol was implemented at a tertiary academic medical center. The purpose of the nurse driven protocol was to identify community-onset Clostridioides difficile infections, expeditiously isolate patients with presumed C difficile diarrheal illness, and prevent transmission while simultaneously decreasing the incidence of hospital-onset C difficile. The overall adherence to fidelity of the protocol was poor and failed to have a significant impact on infection rates.
Le texte complet de cet article est disponible en PDF.Key Words : C difficile, Diagnostic stewardship, Antibiotic stewardship, Infection prevention
Plan
| Conflicts of interest: None to report. |
Vol 48 - N° 1
P. 108-111 - janvier 2020 Retour au numéro
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