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Reductions in Clostridium difficile Infection (CDI) Rates Using Real-Time Automated Clinical Criteria Verification to Enforce Appropriate Testing

Published online by Cambridge University Press:  19 March 2018

Kathleen A. Quan
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California
Jennifer Yim
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California
Doug Merrill
Affiliation:
Renown Health, Reno School of Medicine, University of Nevada, Reno, Nevada
Usme Khusbu
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California
Keith Madey
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California
Linda Dickey
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California
Amish A. Dangodara
Affiliation:
Department of Medicine, School of Medicine, University of California Irvine, Irvine, California Health Affairs Information Services, School of Medicine, University of California Irvine, Irvine, California
Scott E. Rudkin
Affiliation:
Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California Health Affairs Information Services, School of Medicine, University of California Irvine, Irvine, California
Margaret O’Brien
Affiliation:
Health Affairs Information Services, School of Medicine, University of California Irvine, Irvine, California
Daniel Thompson
Affiliation:
Health Affairs Information Services, School of Medicine, University of California Irvine, Irvine, California
Nimisha Parekh
Affiliation:
Department of Medicine, School of Medicine, University of California Irvine, Irvine, California Division of Gastroenterology, School of Medicine, University of California Irvine, Irvine, California
C. Gregory Albers
Affiliation:
Department of Medicine, School of Medicine, University of California Irvine, Irvine, California Division of Gastroenterology, School of Medicine, University of California Irvine, Irvine, California
William C. Wilson
Affiliation:
Department of Medicine, School of Medicine, University of California Irvine, Irvine, California Department of Anesthesiology, School of Medicine, University of California Irvine, Irvine, California Department of Surgery, School of Medicine, University of California Irvine, Irvine, California
Lauri Thrupp
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California Division of Infectious Diseases and Health Policy Research Institute, School of Medicine, University of California Irvine, Irvine, California
Cassiana E. Bittencourt
Affiliation:
Department of Pathology, School of Medicine, University of California Irvine, Irvine, California.
Susan S. Huang
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California Division of Infectious Diseases and Health Policy Research Institute, School of Medicine, University of California Irvine, Irvine, California
Shruti K. Gohil*
Affiliation:
Epidemiology and Infection Prevention, University of California Irvine Health, Orange, California Division of Infectious Diseases and Health Policy Research Institute, School of Medicine, University of California Irvine, Irvine, California
*
Address correspondence to Shruti K. Gohil, MD, MPH, Assistant Professor, University of California, Irvine, School of Medicine, UC Irvine Health, 101 The City Drive, Bldg 56, Suite 700, Rte 181, Orange, CA 92868 (skgohil@uci.edu).

Abstract

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Type
Research Briefs
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

a

Co-authors of equal contribution.

References

1. Lessa, FC, Mu, Y, Bamberg, WM, et al. Burden of Clostridium difficile infection in the United States. N Engl J Med Feb 26 2015;372:825834.CrossRefGoogle ScholarPubMed
2. Polage, CR, Gyorke, CE, Kennedy, MA, et al. Overdiagnosis of Clostridium difficile infection in the molecular test era. JAMA Intern Med Nov 2015;175:17921801.CrossRefGoogle ScholarPubMed
3. Furuya-Kanamori, L, Clements, AC, Foster, NF, et al. Asymptomatic Clostridium difficile colonization in two Australian tertiary hospitals, 2012–2014: prospective, repeated cross-sectional study. Clin Microbiol Infect 2017;23:48 e41e48.CrossRefGoogle ScholarPubMed
4. Burnham, CA, Carroll, KC. Diagnosis of Clostridium difficile infection: an ongoing conundrum for clinicians and for clinical laboratories. Clin Microbiol Rev 2013;26:604630.CrossRefGoogle ScholarPubMed
5. Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31:431455.CrossRefGoogle Scholar
6. Surawicz, CM, Brandt, LJ, Binion, DG, et al. Guidelines for diagnosis, treatment, and prevention of Clostridium difficile infections. Am J Gastroenterol 2013;108:478498; quiz 499.CrossRefGoogle ScholarPubMed
7. Sittig, DF, Singh, H. Electronic health records and national patient-safety goals. N Engl J Med 2012;367:18541860.CrossRefGoogle ScholarPubMed
8. Isaac, S, Scher, JU, Djukovic, A, et al. Short- and long-term effects of oral vancomycin on the human intestinal microbiota. J Antimicrob Chemother 2017;72:128136.CrossRefGoogle Scholar
9. Vrieze, A, Out, C, Fuentes, S, et al. Impact of oral vancomycin on gut microbiota, bile acid metabolism, and insulin sensitivity. J Hepatol Apr 2014;60:824831.CrossRefGoogle ScholarPubMed
10. Al-Nassir, WN, Sethi, AK, Li, Y, Pultz, MJ, Riggs, MM, Donskey, CJ. Both oral metronidazole and oral vancomycin promote persistent overgrowth of vancomycin-resistant enterococci during treatment of Clostridium difficile–associated disease. Antimicrob Agents Chemother Jul 2008;52:24032406.CrossRefGoogle ScholarPubMed
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Reductions in Clostridium difficile Infection (CDI) Rates Using Real-Time Automated Clinical Criteria Verification to Enforce Appropriate Testing
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