Literature DB >> 25869819

The relationship between patient functional status and environmental contamination by Clostridium difficile: a pilot study.

Rebekah Blakney1, Unnur Gudnadottir, Simone Warrack, John C O'Horo, Michael Anderson, Ajay Sethi, Michelle Schmitz, Jennifer Wang, Megan Duster, Emma Ide, Nasia Safdar.   

Abstract

INTRODUCTION: Limited data exist on patient factors related to environmental contamination with Clostridium difficile.
METHODS: We evaluated the association between the functional status of patients with C. difficile infection (CDI) and environmental contamination with C. difficile.
RESULTS: Contamination of patient rooms was frequent and higher functional status was associated with contaminated surfaces remote from the bed. All but one environmental isolates matched the corresponding patient's stool isolate for the seven patients tested.
CONCLUSION: Functional status is a factor that influences environmental contamination with C. difficile. Future studies should evaluate strategies to reduce contamination in CDI patient rooms, taking into account the patient's functional status.

Entities:  

Mesh:

Year:  2015        PMID: 25869819      PMCID: PMC5262493          DOI: 10.1007/s15010-015-0770-1

Source DB:  PubMed          Journal:  Infection        ISSN: 0300-8126            Impact factor:   3.553


  8 in total

1.  An epidemic, toxin gene-variant strain of Clostridium difficile.

Authors:  L Clifford McDonald; George E Killgore; Angela Thompson; Robert C Owens; Sophia V Kazakova; Susan P Sambol; Stuart Johnson; Dale N Gerding
Journal:  N Engl J Med       Date:  2005-12-01       Impact factor: 91.245

2.  Efficacy of decontaminants and disinfectants against Clostridium difficile.

Authors:  Prerna Vohra; Ian R Poxton
Journal:  J Med Microbiol       Date:  2011-04-07       Impact factor: 2.472

3.  What is on that keyboard? Detecting hidden environmental reservoirs of Clostridium difficile during an outbreak associated with North American pulsed-field gel electrophoresis type 1 strains.

Authors:  Donald M Dumford; Michelle M Nerandzic; Brittany C Eckstein; Curtis J Donskey
Journal:  Am J Infect Control       Date:  2009-02       Impact factor: 2.918

4.  Prevalence of Clostridium difficile environmental contamination and strain variability in multiple health care facilities.

Authors:  Erik R Dubberke; Kimberly A Reske; Judith Noble-Wang; Angela Thompson; George Killgore; Jennie Mayfield; Bernard Camins; Keith Woeltje; Jay R McDonald; L Clifford McDonald; Victoria J Fraser
Journal:  Am J Infect Control       Date:  2007-06       Impact factor: 2.918

5.  Persistence of skin contamination and environmental shedding of Clostridium difficile during and after treatment of C. difficile infection.

Authors:  Ajay K Sethi; Wafa N Al-Nassir; Michelle M Nerandzic; Greg S Bobulsky; Curtis J Donskey
Journal:  Infect Control Hosp Epidemiol       Date:  2010-01       Impact factor: 3.254

6.  A comparison of vancomycin and metronidazole for the treatment of Clostridium difficile-associated diarrhea, stratified by disease severity.

Authors:  Fred A Zar; Srinivasa R Bakkanagari; K M L S T Moorthi; Melinda B Davis
Journal:  Clin Infect Dis       Date:  2007-06-19       Impact factor: 9.079

7.  The Barthel ADL Index: a reliability study.

Authors:  C Collin; D T Wade; S Davies; V Horne
Journal:  Int Disabil Stud       Date:  1988

8.  Poor functional status as a risk factor for severe Clostridium difficile infection in hospitalized older adults.

Authors:  Krishna Rao; Dejan Micic; Elizabeth Chenoweth; Lili Deng; Andrzej T Galecki; Cathrin Ring; Vincent B Young; David M Aronoff; Preeti N Malani
Journal:  J Am Geriatr Soc       Date:  2013-09-19       Impact factor: 5.562

  8 in total

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