|What type of bacteria is C. difficile?
|Anaerobic - doesn't need oxygen. Usually lives in the large intestine
|How do you kill the spores? (4 ways)
|Soap and water Sporicidal wipes Hydrogen Peroxide Vapour (HPV) Bleach and water
|What makes C.difficile so difficult to kill?
|It's a spore, not a virus. The spores are extremely hardy Can live for 5 months devoid of food.
|List the 6 symptoms
|Diarrhoea Pyrexia Loss of appetite Nausea Abdominal pain Classic smell
|What complication can arise from C. difficile?
|Pseudomembranous colitis - perforations in bowel allow faeces to leak into the abdominal cavity. Added symptom of blood in the faeces
|How is it spread?
|Same as any infection really - person to person, poor hand hygiene, environmental contamination; commodes, bedrails, tables, lockers, door handles etc etc.
|What 4 types of patients are most at risk?
|Elderly Those with a serious underlying illness Those on broad spectrum antibiotics Those that are critically ill, such as ITU or dialysis patients.
|What are the three main risks to patients?
|Malnutrition Malabsorption Dehydration
|What acronym is used?
|SIGHT S = suspect infective cause I = Isolate patient G = Gloves and aprons H = Hand washing T - Test the stool
|Metronidazole 400mg & stop broad spectrum antibiotics. Live yogurt Brewers yeast Faecal enemas Faecal transplant
|What are the control measures?
|As well as SIGHT, the patient must be symptom free for 48 hours and the room treated with HPV if possible. Early isolation is key to prevent the spread.