Comments on: How to get rid of C. diff? http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/ A blog from inside the emergency department Thu, 23 May 2013 06:31:58 +0000 hourly 1 http://wordpress.org/?v=3.5.1 By: marie http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/#comment-8254 marie Sun, 10 May 2009 00:21:17 +0000 http://www.epmonthly.com/whitecoat/?p=2575#comment-8254 I know I’m preaching to the choir on this one, but the whole concept of “never events” seem to prove that a little knowledge possessed by a large, powerful group of laymen is dangerous.

]]> By: midwest woman http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/#comment-8224 midwest woman Fri, 08 May 2009 15:45:27 +0000 http://www.epmonthly.com/whitecoat/?p=2575#comment-8224 I’m having a hard time finding a geriatric patient that doesn’t have hx c diff…any little squirt and we slap them into isolation with our hazmat outfits on. Glad you posted on this…levaquin 750 mg IV as a CAP protocol and hx c c diff pretty much guarantees an episode. Absolute overkill.

]]> By: Chris http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/#comment-8223 Chris Fri, 08 May 2009 15:24:36 +0000 http://www.epmonthly.com/whitecoat/?p=2575#comment-8223 Are the majority of c diff colitis cases acquired in hospitals from endogenous or exogenous bugs? Evidence points to them being largely exogenous in pathogenic cases – thus the rationale for contact precautions and “never event” stuff, etc.

I think that we need to look at evidence-based studies for the effectiveness of strategies that reduce never events and whether these strategies simply reduce events or also reduce more meaningful measures like time in hospital, mortality, etc.

]]> By: toni http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/#comment-8222 toni Fri, 08 May 2009 13:48:47 +0000 http://www.epmonthly.com/whitecoat/?p=2575#comment-8222 Question. Is there any way to lesson the chance of getting c-diff when on antibiotics?

Our hospital doesn’t change the privacy curtain in the room between patients. It’s gross. Poopy hands touch that curtain. I hate touching them. Just a rant. The CNA’s don’t clean the vitals machine betweeen patients either. Another rant. Alot of nurses don’t clean their stethoscope between patients. Rant Rant Rant.

]]> By: Nurse K http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/#comment-8221 Nurse K Fri, 08 May 2009 03:41:05 +0000 http://www.epmonthly.com/whitecoat/?p=2575#comment-8221 Hm, it said 3%, but, I guess, 4% is okay because if you’re not ripping out extra colons, you’re probably missing some patients who have colons with C.Diff.

]]> By: Nurse K http://www.epmonthly.com/whitecoat/2009/05/how-to-get-rid-of-c-diff/#comment-8220 Nurse K Fri, 08 May 2009 03:39:48 +0000 http://www.epmonthly.com/whitecoat/?p=2575#comment-8220 If C.diff is a never event, it only follows that we should rip out the colons of 80% of infants and 4% of adults before they are admitted to the hospital. That’s really going to ruin patient flow, but it’s the right thing to do.

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