Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship – AHRQ – September 2012

Posted on November 9, 2012. Filed under: Infection Control, Infectious Diseases | Tags: , |

Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship – AHRQ – September 2012

AHRQ = Agency for Healthcare Research and Quality

The Evaluation and Research on Antimicrobial Stewardship’s Effect on Clostridium difficile (ERASE C. difficile) Project

“Clostridium difficile infection (C. difficile) is a serious public health problem that has recently increased in both incidence and severity. Taking steps to reduce C. difficile is a major health and public health imperative. Antimicrobial stewardship targeted to C. difficile reduction shows promise, because increased rates of C. difficile are associated with inappropriate antibiotic use. An antimicrobial stewardship program (ASP) is a systematic approach to developing coordinated interventions to reduce overuse and inappropriate selection of antibiotics, and to achieve optimal outcomes for patients in cost-efficient ways. This toolkit assists hospital staff and leadership in developing an effective ASP with the potential to reduce C. difficile.”

Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. (Prepared by the Boston University School of Public Health, under AHRQ ACTION Contract No. HHSA290200600012i TO10.) AHRQ Publication No. 12-0082-EF, September 2012. Agency for Healthcare Research and Quality, Rockville, MD.

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Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection – AHRQ Research Review – 19 December 2011

Posted on January 11, 2012. Filed under: Infectious Diseases | Tags: , |

Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection – AHRQ Research Review – 19 December 2011
AHRQ = US Agency for Healthcare Research and Quality

Clostridium difficile Infections: Diagnosis, Treatment, and Prevention. Clinician Summary – AHRQ – 19 December 2011

Treating and Preventing C-diff Infections: A Review of the Research for Adults and Their Caregivers. Consumer Summary – AHRQ – 19 December 2011

Clostridium difficile Infections: Diagnosis, Treatment, and Prevention – CME Activity

Clostridium difficile Infections: Diagnosis, Treatment, and Prevention – Slides

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Clostridium Difficile Deaths – report from the General Register Office for Scotland – 7 August 2009

Posted on August 11, 2009. Filed under: Infectious Diseases | Tags: |

Clostridium Difficile Deaths [Scotland] – report from the General Register Office for Scotland – 7 August 2009
Last Updated 7 August 2009

“This section presents information on the numbers of deaths for which Clostridium difficile was mentioned on the death certificate.

Why these figures must be used with caution

In its “Report on Review of Clostridium difficile Associated Disease (CDAD) cases and Mortality in all Acute Hospitals in Scotland …” (published on 7 August 2008), Health Protection Scotland (HPS) wrote that:

“… four NHS boards undertook detailed case note reviews …. [and] … found marked discrepancies between the General Register Office for Scotland (GROS) data and the actual cause of death.”  ”

… continues on the website

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Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents – June 2009

Posted on July 1, 2009. Filed under: Infection Control, Infectious Diseases | Tags: , |

Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents

About these reports

“Each NHS board report contains specific findings. Together they identify:

* a need for a fresh look at implementing healthcare associated infection (HAI) guidance
* a need for greater clarity within Health Boards on internal working systems and practices on HAI prevention
* a need within Health Boards for improved monitoring systems, antibiotic prescribing, and collaborative working across Scotland in relation to HAI. ”

About the visits

“We have recently undertaken ‘shared learning’ visits to three NHS boards following Clostridium difficile (C.difficile) outbreaks.

These visits were carried out at the request of the Scottish Government Health Department (SGHD).  Below is a link to the NHS Board specific reports from each of these visits along with an overview report which draws together the key themes and learning points from the visits along with potential solutions for addressing the challenges we face.”

* Lessons Learned Overview Report (PDF, 205K)

* NHS Orkney – Clinical Governance Diagnostic Review (PDF, 231K)

* NHS Grampian – Infection Prevention and Control: Improving through Learning (PDF, 226K)

* NHS Highland – Infection Prevention and Control: Improving through Learning (PDF, 207K)

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Clostridium difficile infection: how to deal with the problem [UK DoH report]

Posted on April 8, 2009. Filed under: Infection Control, Infectious Diseases | Tags: |

Clostridium difficile infection: how to deal with the problem

This guidance outlines newer evidence and approaches to delivering good infection control and environmental hygiene and updates the 1994 DH/PHLS guidance(Department of Health – publications)   15 January 2009

See also the June 2009 report from NHS Health Quality in Scotland looking at the Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents

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