Optimizing diagnostic testing for Clostridium difficile: The perceptions of physicians and nurses on when to order testing for C difficile

American Journal of Infection Control

Volumn 43, Issue 8, 2015, Pages 889-891

  Blakney, Rebekah ^a   Yanke, Eric ^b   Fink, Cory ^b   Wigton, Robert ^c   Safdar, Nasia ^a,b  

^a UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

^b WILLIAM S MIDDLETON MEMORIAL VETERANS HOSPITAL   (United States)

^c UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

Author keywords

Decision making; Healthcare acquired infection; Judgement

Indexed keywords

ANTIBIOTIC AGENT;

ABDOMINAL DISTENSION; ABNORMAL FECES; AGE DISTRIBUTION; AGED; ANTIBIOTIC THERAPY; ARTICLE; CLOSTRIDIUM DIFFICILE INFECTION; COMORBIDITY; FEMALE; FEVER; HIGH RISK PATIENT; HUMAN; INFECTION RISK; INTENSIVE CARE UNIT; LENGTH OF STAY; LONG TERM CARE; MALE; MEDICAL ORDER; NONHUMAN; NURSE ATTITUDE; PEPTOCLOSTRIDIUM DIFFICILE; PHYSICIAN ATTITUDE; SEPSIS; SEX DIFFERENCE; CLINICAL PRACTICE; CLOSTRIDIUM INFECTIONS; CROSS INFECTION; HEALTH PERSONNEL ATTITUDE; HOSPITAL; ISOLATION AND PURIFICATION; MICROBIOLOGY; NURSE; NURSING PRACTICE; PHYSICIAN; PROFESSIONAL COMPETENCE; RISK FACTOR; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ATTITUDE OF HEALTH PERSONNEL; CLOSTRIDIUM DIFFICILE; CLOSTRIDIUM INFECTIONS; CROSS INFECTION; FEMALE; HOSPITALS; HUMANS; MALE; NURSES; PHYSICIANS; PRACTICE PATTERNS, NURSES'; PRACTICE PATTERNS, PHYSICIANS'; PROFESSIONAL COMPETENCE; RISK FACTORS;

EID: 84938290785     PISSN: 01966553     EISSN: 15273296     Source Type: Journal    
DOI: 10.1016/j.ajic.2015.03.025     Document Type: Article

References (10)

1. S.H. Cohen, D.N. Gerding, S. Johnson, C.P. Kelly, V.G. Loo, L.C. McDonald, and et al. Clinical Practice Guidelines for Clostridium difficile infection in adults: 2010 update by the Society for healthcare Epidemiology of America (SHEA) and the infectious Diseases Society of America (IDSA) Infect Control Hosp Epidemiol 31 2010 431 455
2. K.R. Reveles, G.C. Lee, N.K. Boyd, and C.R. Frei The rise in Clostridium difficile infection incidence among hospitalized adults in the United States: 2001-2010 Am J Infect Control 42 2014 1028 1032
3. Y.P. Tabak, M.D. Zilberberg, R.S. Johannes, X. Sun, and L.C. McDonald Attributable burden of hospital-onset Clostridium difficile infection: a propensity score matching study Infect Control Hosp Epidemiol 34 2013 588 596
4. V.G. Loo, L. Poirier, M.A. Miller, M. Oughton, M.D. Libman, S. Michaud, and et al. A predominantly clonal multi-institutional outbreak of Clostridium difficile-associated diarrhea with high morbidity and mortality N Engl J Med 353 2005 2442 2449
5. K. Weiss, A. Boisvert, M. Chagnon, C. Duchesne, S. Habash, Y. Lepage, and et al. Multipronged intervention strategy to control an outbreak of Clostridium difficile infection (CDI) and its impact on the rates of CDI from 2002 to 2007 Infect Control Hosp Epidemiol 30 2009 156 162
6. H.L. Koo, J.N. Van, M. Zhao, X. Ye, P.A. Revell, Z.D. Jiang, and et al. Real-time polymerase chain reaction detection of asymptomatic Clostridium difficile colonization and rising C. Difficile-associated disease rates Infect Control Hosp Epidemiol 35 2014 667 673
7. L.R. Peterson, and A. Robicsek Does my patient have Clostridium difficile infection? Ann Intern Med 151 2009 176 179
8. N. Bagdasarian, K. Rao, and P.N. Malani Diagnosis and treatment of Clostridium difficile in adults: a systematic review JAMA 313 2015 398 408
9. K. Rao, D. Berland, C. Young, S.T. Walk, and D.W. Newton The nose knows not: poor predictive value of stool sample odor for detection of Clostridium difficile Clin Infect Dis 56 2013 615 616
10. M.H. Wilcox Diagnosis of Clostridium difficile-associated diarrhea and odor Clin Infect Dis 45 2007 1110