C. Diff

Budgeting for hand hygiene

Budgeting for hand hygiene

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One of my former colleagues, who had moved to the healthcare sector from television, shared with me the story of how she began her new job and was told, "Oh, yeah, you can figure out the budget, right?" Administrators with limited budgeting experience might hesitate to make big investments, but when it comes to hand hygiene, spending a little more today could lead to big savings down the line.

An easy way to reduce antibiotics

An easy way to reduce antibiotics

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It is tempting to run to my internist and beg for an antibiotic to stem what could be a sinus infection, but is more likely, much like the polar vortex, a cold that won't go away. I was reminded of the need to hold back by a new study in JAMA Internal Medicine that reminds us that nearly half the antibiotic prescriptions given for respiratory infections are incorrect, as the majority of the diseases in question are viruses.

C. diff sources 'diverse': study

C. diff sources 'diverse': study

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New research challenges assumptions about how Clostridium difficile is transmitted.

Fecal matter pills cure C. diff, physician says

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Pills created from fecal matter are the latest breakthrough in treating Clostridium difficile, according to a doctor in Canada who says he has cured about 30 people this way.

C. diff results stay the same

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High and low dosages of a popular antibiotic are equally good at combating Clostridium difficile infections, according to a new study.

Sanofi moves to new stage in C. diff  vaccine program

Sanofi moves to new stage in C. diff vaccine program

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Sanofi Pasteur's vaccine division has started a Phase III clinical trial to evaluate the safety and efficacy of a vaccine for Clostridium difficile.

Study challenges basic assumptions about C. diff transmission

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A new study contradicts widely held assumptions about how Clostridium difficile infection occurs, which may lead long-term care providers to step up control measures.

Proton-pump inhibitors increase risk of nosocomial C. diff infection: study

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People who take proton-pump inhibitor medications are at increased risk for developing a Clostridium difficile infection, according to a recently published study that supports previous findings.

Dosage amounts create similar improvement in C. diff cases

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High and low dosages of a popular antibiotic offer little difference in the outcomes of Clostridium difficile infections, according to a new study.

Toxin identified to diagnose fatal Clostridium difficile cases

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The bacterial infection Clostridium difficile is most effectively diagnosed through a method called cytotoxin assay, a new study has found.

C. diff therapy put in doubt

C. diff therapy put in doubt

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Probiotics are not effective in preventing diarrhea associated with Clostridium difficile, according to a large study that calls into question previous findings.

Large study casts doubt on probiotic therapy for C. diff

Large study casts doubt on probiotic therapy for C. diff

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Probiotics are not effective in preventing diarrhea associated with Clostridium difficile infection, according to a large study that calls into question previous findings. The findings of the U.K. study are especially significant because its size "dwarfs" previous studies, wrote Nick Daneman, M.D., FRCPC, of the University of Toronto.

C. diff spotlight: Vaccine trial and caregiver checklist

C. diff spotlight: Vaccine trial and caregiver checklist

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Back in June, I declared medication to be the long-term care topic of the summer. But this week, a different topic has stolen the spotlight: Clostridium difficile.

Powerful duo fights C. diff

Powerful duo fights C. diff

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Antibiotics often aren't enough to combat Clostridium difficile. But when combined with probiotics, or "good" bacteria, the results are striking. The treatment combo lessens the likelihood of C. diff symptoms by 64%, according to a recent study.

FDA responds to provider pressure, backs off stricter control of fecal transplants for C. diff

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Individuals with treatment-resistant Clostridium difficile can undergo fecal transplants after giving informed consent, the Food and Drug Administration recently announced. This is a victory for providers, who pushed back after the FDA recently announced it would tighten regulations around the transplants.

FDA wants to fast-track treatments for C. diff

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Clostridium difficile poses a serious public health threat and potential treatments should be fast-tracked, the Food and Drug Administration stated in a newly proposed regulation.

FDA — full of poop?

FDA — full of poop?

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Every few days I read the Food and Drug Administration (FDA) news to see if there is anything relevant to eldercare that I should be aware of. Recently, I came across an extremely eye-opening item.

Probiotics reduce risk of C. diff symptoms by 64%, researchers say

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Long-term care facilities dealing with an outbreak of Clostridium difficile have a good chance of reducing symptoms of the infection by administering probiotics, according to a recently released comprehensive review of randomized trials.

Depression tied to C. diff

Depression tied to C. diff

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Depressed or lonely people are at increased risk of Clostridium difficile infection, according to research in BMC Medicine.

Fecal transplants to treat C. diff now need FDA approval

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The Food and Drug Administration is moving to tighten regulations around fecal transplants, which research has shown to be an effective treatment for Clostridium difficile infection.

Depressed, lonely seniors are more likely to get C. diff, researchers find

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People who are depressed or lonely are at increased risk of Clostridium difficile infection, according to recently published research.

Three risk factors could help uncover C. diff. carriers, researchers say

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Long-term care providers might want to pay special attention to residents with certain recently identified risk factors for Clostridium difficile. These factors are chronic dialysis, recent hospitalization and use of corticosteroids such as prednisone.

Stomach acid drugs raise risk of C. diff

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Stomach acid is often treated with medications such as Pepcid, but that could put long-term care residents or hospitalized patients at risk for Clostridium difficile, according to a new analysis.

Preventing HAIs in long-term care

Preventing HAIs in long-term care

Preventing the spread of MRSA, CRE and other hospital-acquired infections(HAI's) is quickly becoming a top priority in skilled nursing and long-term care facilities. Yet we often overlook disinfecting procedures on our vital signs monitoring equipment.

C. diff especially deadly for those with kidney disease, researchers find

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People with end-stage renal disease (ESRD) have a significantly elevated risk of dying from Clostridium difficile infection, according to a recent study.

Limiting use of common antihistamines could reduce C. diff in facilities, researchers say

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Taking antihistamines such as Tagamet, Pepcid and Zantac increases the risk that people in healthcare settings will be infected with Clostridium difficile, according to a recently published study.

APIC updates  its free guide to C. difficile prevention

APIC updates its free guide to C. difficile prevention

The Association for Professionals in Infection Control and Epidemiology has issued an updated Clostridium difficile infections Implementation Guide.

Efforts to combat Clostridium difficile are coming up short, survey finds

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Long-term care operators and other healthcare providers are having limited success in combating Clostridium difficile infections, despite increasing their efforts in the last three years, according to recently released survey results.

Inside the mind of an LTC shrink

Inside the mind of an LTC shrink

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I sat in morning report as the nursing supervisor announced the arrival of a new resident. An 80-year old woman was taken to the hospital after a fall at home, where she received a below-knee amputation and contracted C. diff before being transferred to our facility. I looked around the room and speculated about what each of my team members were thinking, imagining thought bubbles over their heads.

Taking steps to prevent Clostridium difficile infections

Taking steps to prevent Clostridium difficile infections

The numbers are in and they are grim. There are 165,000 cases, $1.3 billion in excess costs, and 9,000 deaths from Clostridium difficile infections that are healthcare-acquired in the United States annually.

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