Hi Sue!

There are a few initiatives that significantly helped in reducing our CDI rates. We initiated a two-step C.diff testing to distinguish between active infection or colonization. The first step in the two-step sequence is a NAAT/PCR that detects C.diff DNA. If the specimen is DNA positive, the second step is a toxin assay that detects if the bacteria is producing Toxins A&B. We’ve also switched to using a sporicidal cleaning product for our primary cleaning chemical throughout the hospital. Additionally, we partnered with our antimicrobial stewardship pharmacist to provide clinician education and alternative antibiotic recommendations for known high-risk antibiotics that can lead to C.diff.

Hope this helps!
Kelsey