Critical Care Medicine-Infections and Immunologic Disease>>>>>Hospital Infection Control, Hospital Acquired InfectionsQuestion 1#Which set of precaution measures are MOST appropriate for a patient being treated for Clostridioides (formerly Clostridium) difficile colitis?
A. Mandatory gowns, gloves, and surgical masks for healthcare workers
B. Mandatory gowns and gloves for healthcare workers, followed by alcohol-based hand cleansing after removing gown and gloves
C. Mandatory gowns and gloves for healthcare workers, followed by soap-and-water hand cleansing after removing gown and gloves
D. Mandatory gowns and gloves for healthcare workers, followed by soap-and-water hand cleansing after removing gown and gloves until the patient has fewer than five loose bowel movements daily
Correct Answer is
CComment:Correct Answer: C
Alcohol-based hand rub does not kill C. (formerly Clostridium) difficile spores, which are more effectively removed by mechanical scrubbing with soap and water. It is recommended that contact precautions and soap-andwater hand washing be continued for at least 48 hours after diarrhea resolves.
References:
- McDonald LC, Gerding DN, Johnson S, et al. Clinical practice guidelines for Clostridium difficile infection in adults and children: 2017 update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clin Infect Dis. 2018;66:987-994.
- Edmonds SL, Zapka C, Kasper D, et al. Effectiveness of hand hygiene for removal of Clostridium difficile spores from hands. Infect Control Hosp Epidemiol. 2013;34:302-305.