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CLOSTRIDIUM DIFFICILE




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C. difficile Spore Inactivation
AJIC: American Journal of Infection Control. 33(6):320-325, August 2005. Perez, Justo PhD; Springthorpe, V. Susan MSc; Sattar, Syed A. PhD
Excerpt:“Clostridium difficile is an increasingly common nosocomial pathogen, and its spores are resistant to common environmental surface disinfectants. Many high-level disinfectants (eg, aldehydes) are unsuitable for environmental decontamination because they need several hours of contact to be sporicidal. This study tested the potential of selected oxidative microbicides to inactivate C difficile spores on hard surfaces in relatively short contact times at room temperature. ”
C.Diff - A Sporadic Reservoir?  Portable Document Format (83 KB)
Carla Feltrin RN, BA, CNCC(C), Subhash K. Patel MD, FRCPC, FCAP, Tracey Davey RN, BScN, CPHQ
Clostridium difficile Fact Sheet for Patients
Ministry of Health and Long Term Care
Clostridium difficile in Health Care Settings
Ontario Ministry of Health and Long-Term Care
Clostridium Difficile Infectious Diarrhea (431 KB)
Infection Prevention and Control Services Vancouver Island Health Authority
Clostridium difficile Information
Canadian Centre for Occupational Health & Safety(CCOHS)
Excerpt:“"Clostridium difficile (also known as C.difficile) is a bacterium associated with diarrhea and intestinal inflammation among patients or residents in health care facilities."”
Disinfection of Clostridium difficile Spores, AOAC…  Portable Document Format (226 KB)
V. Susan Springthorpe, Justo Perez & Syed A. Sattar
Eliminating Chlostridium difficile from the Health Care Environment
CSSA, Dr. Michelle Alfa
Guidance for the Efficacy Evaluation of Products with Sporicidal Claims against Clostridium difficile Portable Document Format (65 KB)
U.S. Environmental Protection Agency
Unlike US test requirements, Canadian Sporicidal surface disinfectants are tested on a soil challenged surface to more accurately determine their efficacy in an environment more representative of reality. Soiled surfaces present the potential for inactivating certain disinfectant chemistries (ie bleach) and therefore testing with a soil load instils confidence that disinfection can be achieved, even if suboptimal cleaning occurs.
Infection control practices related to Clostridium difficile infection in acute care hospitals in Canada Portable Document Format (2.71 MB)
AJIC Vol. 37, No. 1, February 2009, pg. 9-14 Gravel D, Gardam M, Taylor G, Miller M, Simor A, McGeer A, Hutchinson J, Moore D, Kelly S, Mulvey M; Canadian Nosocomial Infection Surveillance Program.
We carried out a survey to identify the infection prevention and control practices in place in Canadian hospitals participating in the Canadian Nosocomial Infection Surveillance Program (CNISP).
Excerpt:“Although the hospitals used contact precautions quite uniformly, considerable variation was seen among hospitals in terms of testing strategies, cleaning and disinfection protocols and products, and isolation practices. The timing for the initiation of infection control precautions is important to prevent secondary transmission of CDI. Most of the hospitals implemented precautions while waiting for the toxin assay results. ”
Information Factsheet: Questions and answers  Portable Document Format (25 KB)
The Canadian Journal of Infection Control SPRING 2000
Ontario Best Practice Manual for Prevention and Control of Transmission of Clostridium difficile within Healthcare Facilities
Ontario Ministry of Health & Long-Term
This document deals with the prevention and control of the transmission of Clostridium difficile (C.difficile) in acute and non-acute health care settings.
Public Reporting of C. difficile
Ministry of Health and Long Term Care
Public Reporting of C. difficile
Ministry of Health and Long Term Care
Excerpt:“Healthcare associated infections are an unwelcome reality in modern health care settings across the globe. Prevention and control of these infections in hospitals is a priority for Ontario and is key to keeping patients safe. The government of Ontario has developed this site to keep the public informed on patient safety related issues at the province's hospitals”