Effectiveness of infection control program in controlling nosocomial Clostridium difficile

被引:40
作者
Zafar, AB [1 ]
Gaydos, LA [1 ]
Furlong, WB [1 ]
Nguyen, MH [1 ]
Mennonna, PA [1 ]
机构
[1] Columbia Arlington Hosp, Arlington, VA 22205 USA
关键词
D O I
10.1053/ic.1998.v26.a84773
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To report the effectiveness of use of comprehensive infection control measures to reduce the incidence of Clostridium difficile (CD) in an acute-care teaching hospital. Methods: All CD infections were reviewed by the infection Control coordinator from 1987 to 1996. The Centers for Disease Control and Prevention's nosocomial infection definition was used. CD-inclusion criteria remained unchanged during the study period. Interventions were started in 1990. Interventions: The interventions used were: (1) Isolation policy-revision and enforcement, which included universal precautions policy, (2) educational program-monthly to ail health care workers, (3) phenolic disinfectant for environmental cleaning, (4) triclosan (0.03%) soap for handwashing, (5) centralization of sterilization department, (6) cart-washer installation, and (7) aggressive surveillance activity. Results: From 1987 to 1989, before the interventions, a total of 466 CD infections (mean 155 per year) occurred, From 1990 to 1996, after the interventions. 475 infections (mean 67 per year) occurred. Incidence of CD decreased by 60% from 1990 to 1996. Conclusion: The sustained decrease of nosocomial CD during the 7-year period demonstrated the effectiveness of aggressive infection control measures that involve multiple disciplines.
引用
收藏
页码:588 / 593
页数:6
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