C.diff infection treated in home environment ♥
While combating C. diff at home, it is recommended that soiled linens be handled as little as possible to prevent microbial contamination of persons handling the linen. Heavily soiled linens should be laundered separately and not with other clothing or other linens. Satisfactory Laundering has been achieved in “hot” water temperatures cycles in home washers while utilizing chlorine bleach (amount varies with manufacturer and water capacity in each washer) and laundry soap.
Hand-washing with soap and warm water over 30-40 seconds, scrubbing between fingers, and tops of hands, rinsing with fingers pointed downward, using a dry, clean towel to dry both hands and a dry towel to turn off the sink faucets. This hand-washing process demonstrates the greatest efficiency in removing Clostridium difficile (C.diff.) spores and should be performed preferentially over the use of alcohol-based hand rubs when in contact with C.diff. is suspected or likely. Alcohol – based hand rubs are not effective eliminating the C. difficile spores. Hand-hygiene remains the ultimate infection-prevention task to be done to stop the spread of every germ and organism. * The recommended length of time to wash hands is a minimum of 30-40 seconds. Singing two to three renditions of Happy Birthday usually suffices the time suggested to achieve good hand-washing results.
* 70% isopropyl showed NO inactivation of C. difficile spores at exposure times of 5m, 15m, and 30m.
Cleaning a Home Environment:
What needs to be cleaned at home using EPA approved germicide for routine cleaning? All hard surfaces, which include the bedside commode (if applicable), bed-rails (if applicable), All Bathroom sinks, floors, tub/showers, toilets, doorknobs, light switch plates, shower doors. Frequently touched or high-touch surfaces including computer touch-pads, monitor cables, monitors, Kitchen appliances (i.e., Refrigerator handles, oven handles) sinks, counter-tops, floors and any/all medical equipment being utilized (i.e., walker, wheelchair, IV poles/pumps).
C. diff spores are resistant to many commonly used disinfectants, sanitizers and cleaning agents. According to the U.S. Centers for Disease Control and Prevention (CDC), it is important to ensure that surfaces are cleaned with bleach or another Environmental Protection Agency (EPA)-approved, spore-killing disinfectant.
To view EPA’s Registered Antimicrobial Products Effective against Clostridium difficile Spores click on the link below
Clean all items that are shared between individuals (i.e., glucose meters, thermometers, b/p cuffs, stethoscopes). *It is best to use disposal wipes, paper towels, or cleaning clothes that can be washed in hot bleach water after cleaning, sponges are not recommended. The dirty cloth should not return to a clean bucket of solution and buckets/containers should be washed and disinfected after each use.
Always work from the cleanest areas of the home to the dirtiest (those most likely to be soiled with stool), cleaning the bathroom last.
All hard surfaces that may be contaminated should be cleaned and disinfected frequently.
Home Restrooms: To also help prevent spreading C. diff. spores and to prevent reinfection:
- Remove fabric shower curtains – replace with a plain plastic/vinyl shower liner one that will be able to be cleaned with a bleach product.
- Remove towels hanging on hooks, or stacked near the commode.
- Store toothbrushes, personal grooming items, and towels in a cabinet, linen closet, in zip-lock plastic bags, or under the vanity sink.
- Remove bath mat/rug or launder daily in hot water with bleach added (color fabrics may fade due to bleach – read manufacturer labels prior to laundering).
- Cleaning with disposable towels is beneficial.
- It is recommended to wear disposable Gloves while cleaning with disinfectants. Change Gloves and wash hands before exiting the room being cleaned and before entering a new room.
- CDC Recommendation is Utilizing Bleach/Water 1:10 ratio: 1 cup of Bleach + 9 cups of water made fresh daily (Mix a fresh solution every 24 hours due to the bleach strength declines over time and changes the effectiveness after mixed with water) and keeping surfaces wet with solution for ten minutes. Or there is the option to purchase EPA Registered product such as Clorox (TM) Germicidal Solution or wipes to clean hard non-porous surfaces and leaving surfaces wet for up to five minutes to kill C. diff. spores. Environmental safety is a sure way to prevent spreading the C. diff. spores and/or reinfecting the patient
- Information for a common EPA Registered Product Available: https://www.clorox.com/products/clorox-germicidal-bleach-concentrated/#Killing-C.-difficile-Spores
- Home Restrooms: Clean and disinfect all hard, nonporous bathroom surfaces. Start with the highest surface (like the mirror) and leave the toilet for last.
- Protect hands/skin by wearing disposable gloves prior to cleaning with any solution.
- Ensure that all surfaces are disinfected, including the mirror, shower grab bars, shower fixtures, bathroom sink handles, toilet flush handle and bathroom toilet seat (disinfect the top first).
- Ensure the disinfectant remains wet on surfaces for the entire duration of the contact time indicated on the container label of the disinfectant solution or wipe being used. When mixing household bleach (1 cup) with 9 cups of water – surfaces must remain wet with solution for ten (10) minutes to kill spores and mixed fresh daily.
- Allow surfaces to air dry. If needed, use a damp cloth to remove any salt residue left on dry surfaces
- >>>>>> Restroom Commode, seat, handle, lid – should be disinfected after each diarrhea episode to aid in controlling infectious material to reduce the risk of spreading germs.
- Non-bathroom areas: Cleaning and disinfecting should include horizontal surfaces in the home such as counters, dining tables, and bedside tables. Pay special attention to frequently touched areas such as door handles, faucets, light switches, refrigerator handles, oven handles and bed-rails (if applicable).
- Ensure the disinfectant remains wet on surfaces for the entire duration of the contact time.
- Allow surfaces to air dry.
- If needed, use a damp cloth to remove any residue left on dry surfaces.
While visiting a loved one in the hospital, wearing a gown and gloves is very important. Clostridium difficile (C diff) spores will spread throughout areas easily and by complying with hospital policies you will keep your family member, friend, yourself, and others safe.
- Please wash your hands for a minimum of 30 seconds upon entering the patient’s room, and after removing gloves — before leaving the room you are visiting, and please wash your hands upon re-entering before placing new gloves and new gown on.
- **** Please bring as few personal items and property into the patient’s room during a visit that can become contaminated with germs and try to avoid placing personal items on the patient’s room floor. Covering a visitors chair with a clean, dry blanker/sheet will create a barrier and help prevent the spreading of germs to the visitor while visiting in the patient’s isolation room.
- Visit the Nurses Station prior to entering a patient’s isolation room to review the acute-care and long-term-care facility policies in place or to request personal protection equipment (gowns, gloves) if they are not available to the visitor.
ALL “TOUCHABLE (HAND CONTACT)” SURFACES SHOULD BE WIPED CLEAN
with cleaning agent containing Chlorine Bleach. The CDC cleaning ratio 1:10 solution; 1 cup bleach to 9 cups of water and used on non-porous surfaces over ten minutes and mixed fresh daily for effective cleaning solution OR with a EPA Registered Sporicide/Disinfectant (i.e., Steriplex SD, Clorox Germicidal).
Question: Do Clorox® Disinfecting Wipes contain bleach? NO
Clorox® Disinfecting Wipes, purchased at local markets, are made with a bleach-free formula that’s available in Fresh Scent, Lemon Fresh, Kitchen and Lavender scents so they leave a light, clean scent every time you wipe off a surface. * The “Disinfecting” wipes are beneficial addressing other germs but will NOT kill C Diff Spores *
Clorox Healthcare Bleach Products:
Available in Wipes and Solution to meet the needs of Healthcare facilities
FAST: EPA–registered to kill C. difficile spores in 3 minutes* — the fastest contact time available.**
- PROVEN: Supported by clinical studies to reduce transmission of C. difficile spores.
- RECOMMENDED: Meets CDC, SHEA and APIC guideline recommendations for killing C. difficile spores.
- EFFECTIVE: A leading US hospital reported saving up to $203,000 in costs associated with treating C. difficile infections.
Now You Can Use Bleach in More Places than Ever Before — A next-generation bleach product that kills C. difficile spores in 2 minutes, has broad surface compatibility for everyday use, and has a low odor that disappears within minutes.
The Clorox Germicidal and Healthcare Wipes and Solution DO have the EPA Registered C.diff. Kill. Clorox Germicidal Bleach for home care has been located and sold through Lowe’s Home Improvement Centers. and Home Depot — Please contact the local stores for product availability.
What do I need to do when I go home from the hospital?
Once you are back at home, you can return to your normal daily routine in activity of daily living. Often, the diarrhea will be better or completely gone before returning to home. This makes giving C. diff to other people much less likely. There are a few things you should do, however, to lower the chances of developing C. diff infection again or of spreading it to others.
• If you are given a prescription to treat C. diff, take the medicine
exactly as prescribed by your doctor and pharmacist. Do not take half-doses or stop before you run out.
• Hand-washing remains #1 prevention: Take frequent 30 second hand-washing breaks during the day, especially after visiting the bathroom, before and after preparing food, after visiting stores, after visiting the gym, before and after eating, after traveling on public transportation, and often.
* Cleaning with a chlorine bleach cleanser will help kill C Diff spores in the home environment.
* If any C. diff symptoms (diarrhea, fever, abdominal cramping) are noticed, please contact the primary physician, healthcare professional and/or seek medical attention at the local clinic/emergency department for assessment and C. difficile stool testing to receive prompt treatment.