Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-12T19:55:20.027Z Has data issue: false hasContentIssue false
  • English
  • Français

Electronic Clostridium difficile Infection Bundle Reduces Time to Initiation of Contact Precautions

Published online by Cambridge University Press:  08 November 2016

Courtney M. Dewart ,
Natalia Blanco ,
Betsy Foxman  and
Anurag N. Malani
Courtney M. Dewart
Affiliation:
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan
Natalia Blanco
Affiliation:
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan
Betsy Foxman
Affiliation:
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan
Anurag N. Malani*
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases, St. Joseph Mercy Health System, Ann Arbor, Michigan Department of Infection Prevention and Control, St. Joseph Mercy Health System, Ann Arbor, Michigan
*
Address correspondence to Anurag N. Malani, St. Joseph Mercy Health System, NT LL Suite 77, 5301 East Huron River Drive, P.O. Box 995, Ann Arbor, MI (Anurag.Malani@stjoeshealth.org).
Get access Rights & Permissions [Opens in a new window]

Abstract

The impact of computerized order-entry bundles on timing of contact precaution initiation for C. difficile infection (CDI) remains largely unexplored. Implementation of an electronic CDI prevention and management bundle that included an automatic isolation component significantly reduced time to initiation of contact precautions from 33.7 to 22.4 hours.

Infect Control Hosp Epidemiol 2016;242–244

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 2 , February 2017 , pp. 242 - 244
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: Select data and findings were presented as a poster (abstract no. 7919) at the Society for Healthcare Epidemiology of America Spring 2016 Conference in Atlanta, Georgia on May 19, 2016.

References

REFERENCES

1. Lessa, FC, Mu, Y, Bamberg, WM, et al. Burden of Clostridium difficile infection in the United States. N Engl J Med 2015;372:825–834.CrossRefGoogle ScholarPubMed
2. Siegel, JD, Rhinehart, E, Jackson, M, et al. 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35:S65–S164.CrossRefGoogle ScholarPubMed
3. Guide to the elimination of Clostridium difficile in healthcare settings, 2008. Association for Professionals in Infection Control and Epidemiology (APIC) website. http://www.apic.org/Resource_/EliminationGuideForm/5de5d1c1-316a-4b5e-b9b4-c3fbeac1b53e/File/APIC-Cdiff-Elimination-Guide.pdf. Published 2008. Accessed June 15, 2016.Google Scholar
4. Behta, M, Landzberg, R, Jia, H, et al. Time lag for posting transmission-based isolation precaution signs. Am J Infect Control 2013;41:433–437.Google Scholar
5. Dubberke, ER, Carling, P, Carrico, R, et al. Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:628–645.CrossRefGoogle ScholarPubMed
6. Abbett, SK, Yokoe, DS, Lipsitz, SR, et al. Proposed checklist of hospital interventions to decrease the incidence of healthcare-associated Clostridium difficile infection. Infect Control Hosp Epidemiol 2009;30:1062–1069.Google Scholar
7. Muto, CA, Blank, MK, Marsh, JW, et al. Control of an outbreak of infection with the hypervirulent Clostridium difficile BI strain in a university hospital using a comprehensive “bundle” approach. Clin Infect Dis 2007;45:1266–1273.CrossRefGoogle Scholar
8. Weiss, K, Boisvert, A, Chagnon, M, 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 2009;30:156–162.Google Scholar
9. Cohen, SH, Gerding, DN, Johnson, S, 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 2010;31:431–455.Google Scholar
10. Bauer, MP, Kuijper, EJ, Dissel, JT. European Society of Clinical Microbiology and Infectious Diseases (ESCMID): treatment guidance document for Clostridium difficile infection (CDI). Clin Microbiol Infect 2009;15:1067–1079.Google Scholar