{"id":5708,"date":"2024-04-05T10:44:41","date_gmt":"2024-04-05T14:44:41","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/haiar\/?page_id=5708"},"modified":"2026-03-04T10:02:48","modified_gmt":"2026-03-04T15:02:48","slug":"cdiff-2","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/haiar\/cdiff-2\/","title":{"rendered":"Clostridioides Difficile"},"content":{"rendered":"<div id=\"pl-5708\"  class=\"panel-layout\" ><div id=\"pg-5708-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-5708-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-5708-0-0-0\" class=\"so-panel widget widget_siteorigin-panels-builder panel-first-child panel-last-child\" data-index=\"0\" ><div id=\"pl-w69a84998bc7f4\"  class=\"panel-layout\" ><div id=\"pg-w69a84998bc7f4-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>On this page<\/strong>: <a href=\"#Cdiff-Background\">Background<\/a> | <a href=\"#Cdiff-Education\">Educational Resources<\/a> | <a href=\"#Cdiff-Settings\">Setting-Specific Resources<\/a> | <a href=\"#Cdiff-Patients\">Patient Resources<\/a> | <a href=\"#Cdiff-Data\">Data &amp; Reporting<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-1-0-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2024\/02\/C-diff-300x300.png\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2024\/02\/C-diff-300x300.png 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2024\/02\/C-diff-150x150.png 150w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2024\/02\/C-diff.png 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"Clostridioides Difficile\" alt=\"Clostridioides Difficile\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><div id=\"pgc-w69a84998bc7f4-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-1-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div class=\"background-section panel-widget-style panel-widget-style-for-w69a84998bc7f4-1-1-0\" id=\"Cdiff-Background\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Background<\/h2>\n<p><em>Clostridioides\u202fdifficile<\/em> (\u201c<em>C. difficile<\/em>\u201d or \u201c<em>C. diff<\/em>\u201d) is a type of bacteria (germ) that causes diarrhea. It is possible to carry \u202f<em>C. diff<\/em>\u202f bacteria in your body but not show any symptoms; this is called\u202fcolonization. After treatment, repeat testing is not recommended if symptoms have resolved. This is because many people still have the bacteria. Those at the highest risk for <em>C. diff<\/em> infection are older adults on antibiotics for a long time. People with gastrointestinal conditions or prior surgery are at risk. The same is true for those with weakened immune systems or other chronic health conditions. Frequent hospitalization also raises the risk for <em>C. diff<\/em> infection.<\/p>\n<p>Infection prevention is an important strategy to stop the transmission of <em>C. difficile<\/em>. This involves using antibiotics appropriately, implementing Contact Precautions, practicing good hand hygiene, and focusing on environmental cleaning and disinfection.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-2\"  class=\"panel-grid panel-has-style\" ><div class=\"yellow-line panel-row-style panel-row-style-for-w69a84998bc7f4-2\" ><div id=\"pgc-w69a84998bc7f4-2-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-3\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-3-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-3-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w69a84998bc7f4-3-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-3-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"4\" ><div id=\"Cdiff-Education\" class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-3-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>Educational Resources<\/h3>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-w69a84998bc7f4-3-1-1\" class=\"so-panel widget widget_pt_tabs pt-widget-tabs panel-last-child\" data-index=\"5\" >\t\t\t<div class=\"pt-tabs\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<ul class=\"pt-tabs__navigation  nav  nav-tabs\" role=\"tablist\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link  active\" data-toggle=\"tab\" href=\"#tab-vdh\" role=\"tab\">VDH<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link\" data-toggle=\"tab\" href=\"#tab-cdc\" role=\"tab\">CDC<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link\" data-toggle=\"tab\" href=\"#tab-other\" role=\"tab\">Other<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\n\t\t\t\t\t<div class=\"pt-tabs__content  tab-content\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade  in  active\" id=\"tab-vdh\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w69a84998bc821\"  class=\"panel-layout\" ><div id=\"pg-w69a84998bc821-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc821-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc821-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc821-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/as-ar\/\">Antimicrobial Stewardship<\/a><\/li>\n<li><em><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2023\/01\/C.diff-Publication.pdf\">C. diff <\/a><\/em> \u2013 fact sheet with prevention strategies (VDH and VHI)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/disinfection\/\">Cleaning, Disinfection and Sterilization<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/hand-hygiene\/\">Hand Hygiene<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/icprecautions\/\">Infection Control\u202fPrecautions<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/ip\/\">Infection Prevention and Control<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/ppe\/\">Personal Protective Equipment<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69a84998bc821-1\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w69a84998bc821-1\" ><div id=\"pgc-w69a84998bc821-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc821-1-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc821-1-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-341c4fd17837-5708\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-left\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/haiar\/ip\/infection-control-assessment-and-response-icar\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf35a;\"\n\t\tstyle=\"color: #ffab4d\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tRequest an Assessment\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w69a84998bc821-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc821-1-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc821-1-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>VDH Infection Prevention and Control Assessments:\u00a0<\/strong>The HAI\/AR team is available to conduct a no-cost, non-regulatory, onsite visit to help a facility identify its infection prevention strengths and areas of opportunity.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade\" id=\"tab-cdc\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w69a84998bc825\"  class=\"panel-layout\" ><div id=\"pg-w69a84998bc825-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc825-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc825-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc825-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/c-diff\/media\/pdfs\/cdiff-factsheet-p.pdf\"><em>C. diff <\/em>Fact Sheet for Healthcare Professionals<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/c-diff\/hcp\/resources\/index.html\"><em>C. diff <\/em>Healthcare Resources<\/a> (fact sheets, guidelines, assessments)<\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/c-diff\/hcp\/clinical-guidance\/index.html\">Clinical Guidance for <em>C. diff <\/em>Prevention in Acute Care Facilities<\/a><\/li>\n<\/ul>\n<p><b>Guidelines<\/b><\/p>\n<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/disinfection-and-sterilization\/index.html\">Disinfection and Sterilization Guidelines<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/environmental-control\/index.html\">Environmental Infection Control Guidelines<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/hand-hygiene\/index.html\">Guideline for Hand Hygiene in Healthcare Settings<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/isolation-precautions\/index.html\">Isolation Precautions Guideline<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/infection-control\/hcp\/training\/strive.html#cdc_training_materials_section_13-c-difficile-infection-cdi\">STRIVE Infection Control Training: <em>C. difficile<\/em> Infection<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/healthcare-associated-infections\/php\/toolkit\/tap-strategy.html\">Targeted Assessment for Prevention (TAP) Strategy Toolkit<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/project-firstline\/\">Project Firstline<\/a>\u00a0-\u00a0CDC\u2019s\u00a0Project Firstline provides innovative and accessible infection control education for all frontline healthcare\u00a0workers.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade\" id=\"tab-other\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w69a84998bc827\"  class=\"panel-layout\" ><div id=\"pg-w69a84998bc827-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc827-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc827-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc827-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>American Academy of Pediatrics\u00a0<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/pediatrics.aappublications.org\/content\/131\/1\/196.full\"><em>Clostridioides difficile<\/em>\u202fInfection in Adults and Children (2013)<\/a><\/li>\n<\/ul>\n<p><strong>Environmental Protection Agency<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.epa.gov\/pesticide-registration\/list-k-antimicrobial-products-registered-epa-claims-against-clostridium\">List K: Antimicrobial Products Registered with EPA for Claims Against <em>Clostridium difficile <\/em>Spores<\/a><\/li>\n<\/ul>\n<p><strong>Society for Healthcare Epidemiology of America (SHEA)<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.cambridge.org\/core\/journals\/infection-control-and-hospital-epidemiology\/article\/strategies-to-prevent-clostridioides-difficile-infections-in-acutecare-hospitals-2022-update\/575A2A0C9E68BD8535D14B2E337FD0A4\">SHEA\/IDSA Compendium of Strategies to Prevent <em>Clostridioides difficile <\/em>Infections in Acute Care Hospitals: 2022 Update<\/a><\/li>\n<li><a href=\"https:\/\/academic.oup.com\/cid\/article\/73\/5\/e1029\/6298219?login=false\">2021 Focused Update Guidelines on Management of <em>Clostridioides difficile <\/em>Infection in Adults<\/a><\/li>\n<\/ul>\n<p><strong>Virginia Healthcare-Associated Infections Advisory Group<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/vipta\/resource-library\">Virginia Infection Prevention &amp; Control Training Alliance<\/a>\u202f(VIPTA) \u2013\u202fsearch the education and training resource library for resources related to <em>C. diff<\/em><\/li>\n<\/ul>\n<p><strong>Virginia Infection Prevention Training Center<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/viptc.vcu.edu\/\">Virginia Infection Prevention Training Center<\/a>\u202f(VIPTC) \u2013 courses and trainings related to infection prevention and control.<\/li>\n<li><a href=\"https:\/\/youtu.be\/SxaRHpR1tTk\">Chain of Transmission with <em>C. difficile<\/em><\/a> (video)<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-4\"  class=\"panel-grid panel-has-style\" ><div class=\"yellow-line panel-row-style panel-row-style-for-w69a84998bc7f4-4\" ><div id=\"pgc-w69a84998bc7f4-4-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-5\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-5-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-5-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"6\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-5-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w69a84998bc7f4-5-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-5-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"7\" ><div id=\"Cdiff-Settings\" class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-5-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>Setting-Specific Resources<\/h3>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-w69a84998bc7f4-5-1-1\" class=\"so-panel widget widget_pt_tabs pt-widget-tabs panel-last-child\" data-index=\"8\" >\t\t\t<div class=\"pt-tabs\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<ul class=\"pt-tabs__navigation  nav  nav-tabs\" role=\"tablist\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link  active\" data-toggle=\"tab\" href=\"#tab-hospitals\" role=\"tab\">Hospitals<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link\" data-toggle=\"tab\" href=\"#tab-long-term-care\" role=\"tab\">Long-Term Care<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\n\t\t\t\t\t<div class=\"pt-tabs__content  tab-content\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade  in  active\" id=\"tab-hospitals\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w66bc0c89da6aa\"  class=\"panel-layout\" ><div id=\"pg-w66bc0c89da6aa-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w66bc0c89da6aa-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w66bc0c89da6aa-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w66bc0c89da6aa-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong><i>Clostridioides\u202fdifficile<\/i> resources specific to hospital settings:<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2880,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"6\" data-aria-level=\"4\"><a href=\"https:\/\/www.cdc.gov\/c-diff\/hcp\/clinical-guidance\/index.html\"><span data-contrast=\"none\">Clinical Guidance for <\/span><i><span data-contrast=\"none\">C. diff <\/span><\/i><span data-contrast=\"none\">Prevention in Acute Care Facilities<\/span><\/a><span data-contrast=\"none\"> (CDC)<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2880,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"7\" data-aria-level=\"4\"><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/hcp\/core-elements\/hospital.html\"><span data-contrast=\"none\">Core Elements of Hospital Antibiotic Stewardship Programs<\/span><\/a><span data-contrast=\"none\"> (CDC)<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2880,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"8\" data-aria-level=\"4\"><a href=\"https:\/\/www.cambridge.org\/core\/journals\/infection-control-and-hospital-epidemiology\/article\/duration-of-contact-precautions-for-acutecare-settings\/94E38FDCE6E1823BD613ABE4E8CB5E56\"><span data-contrast=\"none\">Duration of Contact Precautions for Acute Care Settings<\/span><\/a><span data-contrast=\"none\"> (SHEA)<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2880,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"9\" data-aria-level=\"4\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10917144\/\"><span data-contrast=\"none\">Strategies to Prevent <\/span><i><span data-contrast=\"none\">C. difficile <\/span><\/i><span data-contrast=\"none\">Infections in Acute Care Hospitals: 2022 Update<\/span><\/a><span data-contrast=\"none\"> (SHEA\/IDSA\/APIC)<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><strong>View\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/hospital\/\">Hospitals homepage<\/a><\/strong><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade\" id=\"tab-long-term-care\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w66bc0c89da6a6\"  class=\"panel-layout\" ><div id=\"pg-w66bc0c89da6a6-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w66bc0c89da6a6-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w66bc0c89da6a6-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w66bc0c89da6a6-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div id=\"pgc-w6542d20dc2211-1-0\" class=\"panel-grid-cell\">\n<div id=\"panel-w6542d20dc2211-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"1\">\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\">\n<p><strong><i>Clostridioides\u202fdifficile<\/i> resources specific to long-term care settings:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2023\/12\/Quick-Guide_CDI_FINAL.pdf\"><span class=\"TextRun SCXW200773964 BCX9\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW200773964 BCX9\" data-ccp-charstyle=\"Hyperlink\">Quick Guide for Nursing Home Infection Preventionists: <\/span><\/span><em><span class=\"TextRun SCXW200773964 BCX9\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW200773964 BCX9\" data-ccp-charstyle=\"Hyperlink\">C. diff<\/span><\/span><\/em><\/a> (VDH)<\/li>\n<li><a class=\"Hyperlink SCXW148593888 BCX8\" href=\"https:\/\/www.cdc.gov\/antibiotic-use\/hcp\/core-elements\/nursing-homes-antibiotic-stewardship.html\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW148593888 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW148593888 BCX8\" data-ccp-charstyle=\"Hyperlink\">Core Elements of Antibiotic Stewardship for Nursing Homes<\/span><\/span><\/a><span class=\"TextRun SCXW148593888 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW148593888 BCX8\"> (CDC)<\/span><\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"pgc-w6542d20dc2211-1-1\" class=\"panel-grid-cell\">\n<div id=\"panel-w6542d20dc2211-1-1-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"4\">\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\"><strong>View\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/ltc\/\">Long-Term Care Homepage<\/a><\/strong><\/div>\n<\/div>\n<\/div>\n<div id=\"panel-w6542d20dc2211-1-1-2\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"5\">\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-6\"  class=\"panel-grid panel-has-style\" ><div class=\"yellow-line panel-row-style panel-row-style-for-w69a84998bc7f4-6\" ><div id=\"pgc-w69a84998bc7f4-6-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-7\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-7-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-7-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"9\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-7-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w69a84998bc7f4-7-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-7-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"10\" ><div id=\"Cdiff-Patients\" class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-7-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>Patient Resources<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/cdiff\/\"><em>C. diff<\/em> website<\/a> (CDC)<\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/c-diff\/resources\/index.html\"><em>C. diff <\/em>Educational Resources<\/a> (CDC)<\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/patient-safety\/about\/index.html\">Tips for Being a Safe Patient<\/a> (CDC)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/epidemiology\/epidemiology-fact-sheets\/clostridioides-difficile\/\"><em>C. diff <\/em>Fact Sheet<\/a> (VDH)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/174\/2023\/01\/C.diff-Publication.pdf\"><em>C. diff <\/em>Prevention<\/a> \u2013 fact sheet with prevention strategies (VDH and VHI)<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-8\"  class=\"panel-grid panel-has-style\" ><div class=\"yellow-line panel-row-style panel-row-style-for-w69a84998bc7f4-8\" ><div id=\"pgc-w69a84998bc7f4-8-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-9\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-9-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-9-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"11\" ><div class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-9-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w69a84998bc7f4-9-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-9-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"12\" ><div id=\"Cdiff-Data\" class=\"panel-widget-style panel-widget-style-for-w69a84998bc7f4-9-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>Data &amp; Reporting<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.medicare.gov\/care-compare\/\">CMS Care Compare<\/a> \u2013 a searchable database of Medicare-certified facilities including hospitals and long-term acute care hospitals. Allows users to compare facilities on a variety of quality measures including <em>C. difficile <\/em>infections and other facility characteristics.<\/li>\n<li><em>C. diff<\/em> is a major threat. According to CDC\u2019s <a href=\"https:\/\/www.cdc.gov\/antimicrobial-resistance\/data-research\/threats\/index.html\"><em>2019 Antimicrobial Resistance Threats Report<\/em><\/a>, in 2017, there were an estimated 223,900 cases in hospitalized patients and 12,800 deaths in the United States.<\/li>\n<\/ul>\n<h4>National Healthcare Safety Network (NHSN)<\/h4>\n<ul>\n<li>Resources related to reporting <em>C. diff<\/em> laboratory-identified\u202fevents to NHSN are available on the\u202f<a href=\"https:\/\/www.cdc.gov\/nhsn\/psc\/cdiff\/index.html\">CDC website<\/a>, including protocols, data collection forms, and analysis resources.<\/li>\n<li>Acute care hospital\u202fand long-term acute care hospital <em>C. diff\u202f<\/em>data can be accessed on the\u202f<a href=\"https:\/\/www.vdh.virginia.gov\/haiar\/data\/\">VDH HAI\/AR Program Data website<\/a>.<\/li>\n<\/ul>\n<h4>Virginia Communicable Disease &amp; Outbreak Reporting Requirements<\/h4>\n<p><a href=\"https:\/\/law.lis.virginia.gov\/vacode\/title32.1\/chapter2\/section32.1-35.1\/\">State regulatory code<\/a>\u202faligns Virginia\u2019s healthcare-associated infection reporting requirements with those <a href=\"https:\/\/www.cdc.gov\/nhsn\/pdfs\/cms\/cms-reporting-requirements.pdf\">required by the Centers for Medicare and Medicaid Services<\/a> (CMS). Acute care hospitals, inpatient rehabilitation facilities, and long-term acute care hospitals report\u202f<em>C. difficile\u202f<\/em>laboratory-identified events to VDH via CDC\u2019s National Healthcare Safety Network (NHSN).<\/p>\n<p>Per the <a href=\"https:\/\/law.lis.virginia.gov\/admincode\/title12\/agency5\/chapter90\/\"><em>Regulations for Disease Reporting and Control<\/em><\/a>, the following is reportable:<\/p>\n<ul>\n<li><b>By facilities or programs licensed or operated by any agency of the Commonwealth, schools, child-care centers, and summer camps<\/b>: Any suspected or confirmed outbreak<\/li>\n<li><a href=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=M3YRJPNRHP\"><span data-contrast=\"none\">Suspected Outbreak Reporting Portal<\/span><\/a><\/li>\n<\/ul>\n<p>For more information: <a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/disease-reporting-and-control-regulations\">Disease Reporting and Control Regulations page.<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69a84998bc7f4-10\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69a84998bc7f4-10-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69a84998bc7f4-10-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"13\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-30482e78fac0\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-left\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/haiar\/resources\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf14d;\"\n\t\tstyle=\"color: #ffab4d\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tReturn to Resource Hub\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>On this page: Background | Educational Resources | Setting-Specific Resources | Patient Resources | Data &amp; Reporting Background Clostridioides\u202fdifficile (\u201cC. difficile\u201d or \u201cC. diff\u201d) is a type of bacteria (germ) [&hellip;]<\/p>\n","protected":false},"author":452,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-5708","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Clostridioides Difficile - HAIAR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/haiar\/cdiff-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clostridioides Difficile - HAIAR\" \/>\n<meta property=\"og:description\" content=\"On this page: Background | Educational Resources | Setting-Specific Resources | Patient Resources | Data &amp; 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