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8 Cards in this Set
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What is a nosocomial infection |
A nosocomial infection is one that that a patient contracts in a health care setting or in a home carearrangement. The infection was neither present nor developing at the time theindividual was admitted (or started treatment). |
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Some of the infections monitoredby the Canadian Nosocomial Infection Surveillance Program (CNISP) include: |
Methicillin-resistant Staphylococcus aureus(MRSA) infections; Vancomycin-resistant enterococci (VRE) infections; Clostridium difficile (C. difficile); Surgical site infections (SSI); Central venous catheter-associated bloodstreaminfections (CVC-BSI) |
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What are the indications for testing C diff? |
Diarrhea +/- fever and abdominal cramps . diarrhea, defined as passage of three or more unformed stools in 24 or fewer consecutive hours. |
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How is the test for C Diff done? |
Sample of watery stool sent for PCR which amplifies DNA and RNA. |
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How long does it take for the C diff test to come back? |
PCR is a rapid but costly test |
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How is C Diff prevented? |
Mainly hand washing to scrub off spores. Alcohol based hand cleaners don't kill spores. |
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Why is C DIff so bad? |
Mechanism = Taking antibiotics and unbalance normal flora in the gut, allowing C. difficile to multiply. proliferation of C. difficile in the large intestine, which produces toxins A and B, leading to gut inflammation, fluid and mucus secretion, and colitis. ranges in severity from mild diarrhea to fulminant colitis, toxic megacolon, and death |
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What is C Diff ? |
Clostridium difficile is an anaerobic gram-positive bacterium that produces spores resistant to heat, drying, and many antiseptic solutions. transmitted from person to person by the fecal-oral route |
