Longitudinal Trends of Clostridium difficile Infection (CDI) within Department of Veterans Affairs (VA) Medical Centers—Acute Care and Long-term Care

Declining Rates of Clostridium difficile infections (CDI) in Veterans Affairs (VA) Long-term Care Facilities (LTCF)

Clostridium difficile Infection Among Veterans Health Administration Patients.

OBJECTIVE To report on the prevalence and incidence of Clostridium difficile infection (CDI) from 2009 to 2013 among Veterans Healthcare Administration patients DESIGN A retrospective descriptive analysis of data extracted from a large electronic medical record (EMR) database SETTING Data were acquired from VHA healthcare records from 2009 to 2013 that included outpatient clinical visits, l...

529Frequent Transmission of Clostridium Difficile by Asymptomatically Colonized Long-term Care Facility Residents during Hospital Admissions

529. Frequent Transmission of Clostridium Difficile by Asymptomatically Colonized Long-term Care Facility Residents during Hospital Admissions Curtis J. Donskey, MD; Venkata C.K. Sunkesula, MD, MS; Nimalie D. Stone, MD, MS; Carolyn V. Gould, MD, MS; L. Clifford Mcdonald, MD, FACP, FSHEA; Matthew Samore, MD; Jeanmarie Mayer, MD; Susan M. Pacheco, MD; Annette Jencson, BSMT(ASCP)SM, CIC; Susan Sam...

A qualitative, interprofessional analysis of barriers to and facilitators of implementation of the Department of Veterans Affairs' Clostridium difficile prevention bundle using a human factors engineering approach.

BACKGROUND Clostridium difficile infection (CDI) is increasingly prevalent, severe, and costly. Adherence to infection prevention practices remains suboptimal. More effective strategies to implement guidelines and evidence are needed. METHODS Interprofessional focus groups consisting of physicians, resident physicians, nurses, and health technicians were conducted for a quality improvement pr...

Burden of Clostridium difficile on the Healthcare System

There are few high-quality studies of the costs of Clostridium difficile infection (CDI), and the majority of studies focus on the costs of CDI in acute-care facilities. Analysis of the best available data, from 2008, indicates that CDI may have resulted in $4.8 billion in excess costs in US acute-care facilities. Other areas of CDI-attributable excess costs that need to be investigated are cos...