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Gut Check: Clostridium difficile Testing and Treatment in the Molecular Testing Era

  • Whitney R. Buckel (a1), Edina Avdic (a2), Karen C. Carroll (a3) (a4), Vidhya Gunaseelan (a2), Eric Hadhazy (a3) and Sara E. Cosgrove (a3)...


We evaluated the impact of nursing education and stewardship interventions on Clostridium difficile testing and treatment appropriateness. Diarrhea documentation increased for those with positive tests (45% to 70%); pretreatment laxative use decreased (50% to 19%). Appropriate treatment increased for severe infection (57% to 93%), but all asymptomatically colonized patients were treated.

Infect Control Hosp Epidemiol 2014;00(0): 1–5


Corresponding author

Address correspondence to Whitney R. Buckel, PharmD, Intermountain Medical Center, 5121 South Cottonwood Street, Murray, UT 84107 (


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Presented at IDWeek; San Diego, CA; October 19, 2012.



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