Readmission of previous CDI patients

[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.pdf), 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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[Anonymous]

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

________________________________

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.pdf), 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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[Sue Gonelli]

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

Please consider the environment before printing this email

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*********

Although this email has been scanned for viruses please ensure that due
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Do not open any attachments that you are not expecting!

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the intended recipient, and may not duplicated or used by any other
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contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”),
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[Jayne OConnor]

Hi Michael,

We don’t routinely isolate patients with history of CDI unless they are
symptomatic. Being a private facility most of our rooms are single so it
would be a matter of commencing them on transmission based precautions.

Kind regards

Jayne O’Connor RN, BSc infection control

CNC -IPC

Sydney Adventist Hospital,

Fox Valley rd,

Wahroonga

NSW 2076

T: 02 9487 9433

M:0406 752 685

________________________________

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.p
df), 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

Please consider the environment before printing this email

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[Fiona de Sousa]

Hi Michael,

We do not routinely isolate previous CDI patients on readmission. The
only reason we would isolate them is if they had an infectious risk.

Kind Regards,

Fiona De Sousa

Infection Prevention & Control Coordinator

Sydney Adventist Hospital

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

________________________________

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.p
df), 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

Please consider the environment before printing this email

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contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”),
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[Rebecca O’Donnell]

Hi Michael,

We add an IBA Infection Control alert to the patients electronic file. We also place a sticker in the chart for future admissions. This gives us an opportunity to ensure that there are no indications for retesting e.g. diarrhoea on or prior to admission with recent antibiotic therapy prior to admission.

Hope this gives some useful feedback.

Cheerio,

Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.au

P Please consider the environment before printing this email.
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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.pdf), 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
Please consider the environment before printing this email
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

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