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Title: Impact of a training program on the surveillance of Clostridioiaes difficile infection
Author: Sopena Galindo, Nieves
Freixas Sala, Núria
Bella Cueto, Maria Rosa
Pérez Jové, Josefa
Hornero, Ana
Limón, Enrique
Gudiol i Munté, Francesc
Pujol Rojo, Miquel
VINCat Clostridioides difficile study group
Keywords: Clostridi
Malalties infeccioses
Programes de prevenció
Communicable diseases
Prevention programs
Issue Date: 1-Jan-2019
Publisher: Cambridge University Press
Abstract: A high degree of vigilance and appropriate diagnostic methods are required to detect Clostridioides difficile infection (CDI). We studied the effectiveness of a multimodal training program for improving CDI surveillance and prevention. Between 2011 and 2016, this program was made available to healthcare staff of acute care hospitals in Catalonia. The program included an online course, two face-to-face workshops and dissemination of recommendations on prevention and diagnosis. Adherence to the recommendations was evaluated through surveys administered to the infection control teams at the 38 participating hospitals. The incidence of CDI increased from 2.20 cases/10 000 patient-days in 2011 to 3.41 in 2016 (P < 0.001). The number of hospitals that applied an optimal diagnostic algorithm rose from 32.0% to 71.1% (P = 0.002). Hospitals that applied an optimal diagnostic algorithm reported a higher overall incidence of CDI (3.62 vs. 1.92, P < 0.001), and hospitals that were more active in searching for cases reported higher rates of hospital-acquired CDI (1.76 vs. 0.84, P < 0.001). The results suggest that the application of a multimodal training strategy was associated with a significant rise in the reporting of CDI, as well as with an increase in the application of the optimal diagnostic algorithm.
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It is part of: Epidemiology and Infection, 2019, vol. 147
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ISSN: 0950-2688
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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