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Outbreak of Clostridium difficile Infections at an Outpatient Hemodialysis Facility—Michigan, 2012–2013

  • Isaac See (a1) (a2), Suparna Bagchi (a1) (a3), Stephanie Booth (a4), Daniel Scholz (a5), Andrew I. Geller (a1) (a2), Lydia Anderson (a2), Heather Moulton-Meissner (a2), Jennie L. Finks (a6), Karen Kelley (a4), Carolyn V. Gould (a2) and Priti R. Patel (a2)...

Abstract

Investigation of an outbreak of Clostridium difficile infection (CDI) at a hemodialysis facility revealed evidence that limited intrafacility transmission occurred despite adherence to published infection control standards for dialysis clinics. Outpatient dialysis facilities should consider CDI prevention, including environmental disinfection for C. difficile, when formulating their infection control plans.

Infect. Control Hosp. Epidemiol. 2015;36(8):972–974

Copyright

Corresponding author

Address correspondence to Isaac See, MD, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd NE A-16, Atlanta, GA 30333 (isee@cdc.gov).

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Note. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Footnotes

References

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1. Keddis, MT, Khanna, S, Noheria, A, Baddour, LM, Pardi, DS, Qian, Q. Clostridium difficile infection in patients with chronic kidney disease. Mayo Clin Proc 2012;87:10461053.
2. Eddi, R, Malik, MN, Shakov, R, Baddoura, W, Chandran, C, Debari, VA. Chronic kidney disease as a risk factor for Clostridium difficile infection. Nephrology 2010;15:471475.
3. Checklist: dialysis station routine disinfection. Centers for Disease Control and Prevention website. http://www.cdc.gov/dialysis/PDFs/collaborative/Env_checklist-508.pdf. Published 2013. Accessed February 18, 2014.
4. Recommendations for preventing transmission of infections among chronic hemodialysis patients. MMWR Recomm Rep 2001;50:143.
5. National action plan to prevent healthcare-associated infections: road map to elimination. Chapter 6: end-stage renal disease facilities. US Department of Health and Human Services website. http://www.health.gov/hai/pdfs/hai-action-plan-esrd.pdf. Published 2013. Accessed June 11, 2014.
6. Fistula first catheter last. End Stage Renal Disease Network Coordinator Center website. http://esrdncc.org/ffcl/. Accessed October 31, 2014.
7. Sheth, H, Bernadini, J, Burr, R, et al. Clostridium difficile infections in outpatient dialysis cohort. Infect Control Hosp Epidemiol 2010;31:8991.
8. Rutala, WA, Weber, DJ, the Healthcare Infection Control Practices Advisory Committee. Guideline for disinfection and sterilization in healthcare facilities, 2008. Centers for Diesaese Control and Prevention website. http://www.cdc.gov/hicpac/Disinfection_Sterilization/acknowledg.html. Published 2008. Accessed February 14, 2014.

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Outbreak of Clostridium difficile Infections at an Outpatient Hemodialysis Facility—Michigan, 2012–2013

  • Isaac See (a1) (a2), Suparna Bagchi (a1) (a3), Stephanie Booth (a4), Daniel Scholz (a5), Andrew I. Geller (a1) (a2), Lydia Anderson (a2), Heather Moulton-Meissner (a2), Jennie L. Finks (a6), Karen Kelley (a4), Carolyn V. Gould (a2) and Priti R. Patel (a2)...

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