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Evaluating the Effect of a Clostridium difficile Infection Prevention Initiative in Veterans Health Administration Long-Term Care Facilities

  • Maninder B. Singh (a1) (a2), Martin E. Evans (a1) (a3) (a4) (a5), Loretta A. Simbartl (a5), Stephen M. Kralovic (a5) (a6) (a7) and Gary A. Roselle (a5) (a6) (a7)...


We evaluated rates of clinically confirmed long-term-care facility-onset Clostridium difficile infections from April 2014 through December 2016 in 132 Veterans Affairs facilities after the implementation of a prevention initiative. The quarterly pooled rate decreased 36.1% from the baseline (P<.0009 for trend) by the end of the analysis period.

Infect Control Hosp Epidemiol 2018;39:343–345


Corresponding author

Address all correspondence to Martin E. Evans, MD, Room B415, Lexington VA Medical Center, 1100 Veterans Way, Lexington, KY 40536 (


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1. Evans, ME, Kralovic, SM, Simbartl, LA, Jain, R, Roselle, GA. Effect of a Clostridium difficile infection prevention initiative in Veterans Affairs acute care facilities. Infect Control Hosp Epidemiol 2016;37:720722.
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8. Ponnada, S, Guerrero, DM, Jury, LA, et al. Acquisition of Clostridium difficile colonization and infection after transfer from a Veterans Affairs hospital to an affiliated long-term care facility. Infect Control Hosp Epidemiol 2017;38:17.
9. Kelly, AA, Jones, MM, Echevarria, KL, et al. A report of the efforts of the Veterans Health Administration National Antimicrobial Stewardship Initiative. Infect Control Hosp Epidemiol 2017;38:513520.
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Singh et al. supplementary material
Singh et al. supplementary material 1

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