Prevention of Infection Due to Clostridium difficile

Infect Dis Clin North Am. 2016 Dec;30(4):999-1012. doi: 10.1016/j.idc.2016.07.005. Epub 2016 Sep 19.

Abstract

Clostridium difficile is one of the foremost nosocomial pathogens. Preventing infection is particularly challenging. Effective prevention efforts typically require a multifaceted bundled approach. A variety of infection control procedures may be advantageous, including strict hand decontamination with soap and water, contact precautions, and using chlorine-containing decontamination agents. Additionally, risk factor reduction can help reduce the burden of disease. The risk factor modification is principally accomplished though antibiotic stewardship programs. Unfortunately, most of the current evidence for prevention is in acute care settings. This review focuses on preventative approaches to reduce the incidence of Clostridium difficile infection in healthcare settings.

Keywords: Antibiotic stewardship; Bleach; Clostridium difficile; Contact precautions; Environmental decontamination; Hand washing; Infection control; Prevention.

Publication types

  • Review

MeSH terms

  • Clostridioides difficile*
  • Clostridium Infections / prevention & control*
  • Cross Infection / prevention & control*
  • Hand Disinfection
  • Humans
  • Infection Control