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Re: Readmission of previous CDI patients

Home Forums Infexion Connexion Readmission of previous CDI patients Re: Readmission of previous CDI patients

#69160
Sue Gonelli
Participant

Author:
Sue Gonelli

Email:
sgonelli@phcn.vic.gov.au

Organisation:
Peninsula Health

State:

Hi Michael,

We also have an electronic alert system and include a similar comment re
contact precautions only being required if the patient is symptomatic.
We also ask for the patient to be on a bowel chart and have a prompt for
discretion when prescribing antibiotics.

Regards

Sue

Sue Gonelli

Infection Preventionist

Infection Prevention and Control Unit &

Employee Exposure Management and Immunisation Services (EEMIS)

Peninsula Health

PO Box 52

Frankston 3199

Behalf Of Katherine Taylor

Hi Michael,

We place an electronic alert in our system for patients identified with
C. difficile infection and include a comment that contact precautions
are only required on re-admit if the patient currently has diarrhoea or
has had diarrhoea in the previous 48 hours.

regards

Kathy

Kathy Taylor CICP

Infection Control Manager

The Wesley Hospital

PO Box 499,

Toowong, Qld 4066

07 3232 7558

katherine.taylor@uchealth.com.au

________________________________

Behalf Of Michael Wishart

Hi

Moving to a new facility is always interesting, as things are done
differently. Now I get to challenge my own thinking!

Can I ask if any facilities routinely place into single rooms on
readmission patients who have had previous Clostridium difficile
infection (CDI)?

I cannot find this supported in the 2010 SHEA/IDSA Clinical Practice
guidelines (
http://www.cdc.gov/HAI/pdfs/cdiff/Cohen-IDSA-SHEA-CDI-guidelines-2010.pd
f), but then again it is not specifically mentioned (apart from
screening asymptomatic patients and staff not being useful).

Does any facility have a process for identifying patients in future
admissions who had previously had CDI, and managing them differently
regardless of status of diarrhoea??

Thanks for any thoughts on this.

Cheers

Michael

Michael Wishart

CNC Infection Control

Holy Spirit Northside Private Hospital

627 Rode Road, Chermside, Qld 4032

t: (07) 3326 3068 | f: (07) 3326 3523

e: Michael.Wishart@hsn.org.au

w:www.holyspiritnorthside.org.au

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