Tag Archives: C diff home care

“What is C. diff.?” One Woman Walked Up To Us And Asked – Then the Crowd Followed

Heather and Kimberly III 7.23.16

The C Diff Foundation Volunteer Patient Advocates; Heather Clark and
her sister, Kimberly Reilly participated at local events over the summer season  to educate and advocate
for C. diff. infection prevention, treatments, and environmental safety within the local communities raising C. diff. awareness and saving lives.

 

On behalf of the C Diff Foundation , we sincerely thank you Heather and Kimberly for your dedication, your time, and for joining the
C Diff Foundation partnering and sharing our global mission.

We are truly grateful to the many special Volunteer Patient Advocates, the special individuals donating their time in “Raising C. diff. Awareness within their communities” around the globe.  Thank You!

Heather and Kimberly lost their dear Father from C.diff. involvement.  Shortly after his passing,  Heather and Kimberly took a stand with the C Diff Foundation and dedicated their time and efforts in  “Raising C. diff. Awareness” to help educate, and advocate for this life-threatening infection that played a big part in their Father’s passing.

To listen to Heather’s journey, with fellow C. diff. survivors,  – please click on the podcast link below:

http://www.voiceamerica.com/episode/85287/c-diff-survivors-share-their-unique-journey-through-a-c-diff-infection-and-how-it-changed-their

“What is C. diff.?”

Clostridium difficile (C.diff.) is gram-positive, anaerobic, and a spore, rod/spindle-shape,
a common bacterium of the human intestine in 2 – 5%. C diff. becomes a serious gastrointestinal infection when individuals have been exposed to antibiotic therapy, and/or have experienced a long-term hospitalization, and/or have had an extended stay in a long-term care facility. However; the risk of acquiring a C diff. infection (CDI) has increased as it is in the community (Community Acquired CDI) and found in outpatient settings.

There are significant risk factors in patients who are immunosuppressant, ones who have been on antibiotic therapy, and the elderly population.

How do Antibiotics cause C diff.? The antibiotics cause a disruption in the normal intestinal flora which leads to an over growth of C difficile bacteria in the colon. The leading antibiotics known to disrupt the normal intestinal flora, yet not limited to, are Ampicillin, Amoxicillin, Cephalosporins, Clindamycin, and the broad spectrum antibiotics.

Since  November 2012 the CDC has shared public announcements regarding antibiotic use: Colds and many ear and sinus infections are caused by viruses, not bacteria. Taking antibiotics to treat a “virus” can make those drugs less effective when you and your family really need them. Limiting the usage of antibiotics will also help limit new cases of CDI.
*Always discuss the symptoms and medications with the treating Physician.

What are C.diff. Symptoms? Symptoms of Clostridium difficile (C.diff.)
C.diff. strains produce several toxins; the most popular are enterotoxin – Clostridium difficile toxin A and cytotoxin – Clostridium difficile toxin B.  Both strains are responsible for the symptoms of diarrhea, abdominal pain, fever, fatigue, and can advance to a complication of a severe inflammation of the colon; pseudomembranous colitis, which can also lead to further complications of toxic megacolon.

How is C.diff. Transmitted? Mode of transmission of CDI can be either directly or indirectly, hospital acquired (nosocomial) or community – acquired; Ingesting C.diff spores transmitted from others and patients by hands, or altered normal intestinal flora by antibiotic therapy allowing proliferation of C.diff.  in the colon.  Coming in contact with surfaces, devices, or material with Clostridium difficile spores can easily be transferred to individuals by hands that have touched a contaminated surface or item. Examples of surfaces, devices, and materials contaminated with C.diff. spores in hospital and community/outpatient settings: commodes, bath tubs, showers, hand rails, bed rails, counter tops, handles, clothing, medical equipment, and electronic rectal thermometers.

The C Diff Foundation provide a wide range of programs, such as education, and advocacy for C. diff. infection prevention, treatments, support, and environmental safety worldwide, training of volunteer patient advocates (VPA’s) across the globe to provide educational workshops, supplying life-saving medications for those afflicted with this infection from young children to seniors, building satellite branches across the globe, presenting educational workshops in educational programs, improving and expanding the C. difficile infection awareness, providing global tele-conferencing support sessions in mental health counseling, long-term illnesses, the prevention, treatments, environmental safety with nutritional education for patients, and families suffering through a C. difficile infection
and so much more.

We are working together and dedicated at raising C. diff. awareness to witness a decrease in newly diagnosed C. difficile infections worldwide and through dedication and efforts of the
C Diff Foundation Volunteers – we will meet our goals.

Lycoming Fair 7.16.16

 

 

 

 

 

 

Treatments For CDI?   Treating C diff is becoming more challenging to physicians, frustrating to patients, and costly to the health care industry. To date there are three antibiotics effective at treating C diff: Metronidazole is prescribed to treat mild to moderate symptoms and is cost effective (8). Vancomycin is prescribed for moderate to severe symptoms via: oral route as intravenous administration does not achieve gut lumen therapeutic levels. Vancomycin is prescribed to patients with unsuccessful results from the Metronidazole, or the patient is allergic, or pregnant, breastfeeding, or younger than ten years of age.

The most recent antibiotic, Dificid (fidaxomicin) http://www.dificid.com is the first medication approved by FDA to treat C diff. Associated-Diarrhea CDAD in over twenty five years with superiority in sustained clinical response (5) Loperamide, diphenoxylate and bismuth medications are contraindicated as they slow the fecal transit time which extends the toxins in the gastrointestinal system.

The use of Cholestyramine has demonstrated positive results as toxins A and B bind to the resin as it passes through the intestines aiding in slowing bowel motility and assists in decreasing dehydration (9).

C.diff. spores are able to live outside of the body for a very long period of time and are resistant to most routine cleaning agents. It has also been proven that alcohol based hand sanitizers remain ineffective in eradicating C. diff. spores. In 2009 Clorox Commercial Solutions Ultra Clorox Germicidal Bleach ® was named the first and only product to obtain Federal EPA registration for killing C. diff. spores on hard, non porous surfaces when used as directed (1).

Please visit the following Page for additional information:

https://cdifffoundation.org/c-diff-infection-%e2%99%a5-home-care/

 

The CDC also recommends a 1:10 ( 1 cup bleach to 9 cups of water) dilution of bleach and water for cleaning hard non-porous surfaces keeping areas covered with solution for 10 minutes and the solution is to be mixed fresh daily.

Hand hygiene following the guidelines in HAND WASING; it is important to wash hands before entering and exiting a patient’s room (4). The spores are difficult to remove from hands; Universal Contact Precautions remain best practice for healthcare personnel and Contact Precautions for patients with a confirmed diagnosis of CDI. Prevention through education about CDI has proven effective and beneficial to environmental housekeeping departments, health care professionals, administration, patients, and their families (2)

https://cdifffoundation.org/hand-washing-updates/

 

To Join The C Diff Foundation Volunteer Patient Advocate Program, please contact us by email info@cdifffoundation.org  or call us toll-free 1-844-FOR-CDIF

 

 

References:

(1) Clorox registered EPA
http://www.ahe.org/ahe/learn/press-releases/2009/20090402_clorox_epa_cdiff.shtml

(2) Clostridium difficile (CDI) Infections thttp://www.cdc.gov/hai/pdfs/toolkits/CDItoolkitwhite_clearance_edits.pdf
(3) Lab Tests and Diagnosis Mayo Clinichttp://www.mayoclinic.com/health/c-difficile/DS00736/DSECTION=tests-and-diagnosis
(4) CDC Hand washing
http://www.cdc.gov/Features/HandWashing/

(5) FDA announcement Dificid
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm257024.htm

(5) Dificid.com
http://www.dificid.com

(6) Probiotics in the prevention of antibiotic-associated diarrhea
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3105609/

(6) Danimals PRNewswire8/Jan2012;
http://www.prnewswire.com/news-releases/dannonr-danimalsr-adds-proven-benefits-of-probiotics-53347947.html

(7) Get smart antibiotics week CDC
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6144a7.htm

(8) Metronidazole
http://www.everydayhealth.com/drugs/flagyl

(9) Cholestyranine
http://www.globalrph.com/cholestyramine.htm

C. diff. Infection (CDI) Recommendations For Laundry At Home and More

 

washingMachineWhile combating a  C. difficile infection  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 a chlorine bleach and laundry soap. (Each washer machine is different. Please contact the manufacturer for accurate water capacity when calculating bleach ratio).

You can use the Clorox Germicidal Bleach for laundry in the same way and amount as you would with Clorox® Regular-Bleach.

Additional Information:

https://www.cloroxprofessional.com/products/clorox-healthcare-bleach-germicidal-cleaners/efficacy-claims/

Killing C. difficile Spores

Personal Protection
Wear appropriate barrier protection such as gloves, gowns, masks or eye covering.
Cleaning Procedure
Fecal matter/waste must be thoroughly cleaned from surfaces/objects before disinfection by application with clean cloth, mop  saturated with product intended for disinfection. Cleaning should include vigorous wiping and/or scrubbing until visible soil is removed. Special attention is needed for high-touch surfaces. Surfaces in patient rooms should be cleaned in an appropriate manner, with restrooms and other dirty areas cleaned last. Do not reuse soiled cloths.  (Paper towels are beneficial for infection-control)

Infectious Materials Disposal
Cleaning materials used that may contain feces/wastes should be disposed of immediately in accordance with local regulations for infectious materials disposal.
For Killing Clostridium difficile Spores
Use 1 part bleach (1 cup)  to 8 parts (8 cups) water to achieve a 1:9 dilution (~8800 ppm available chlorine) before use. Clean hard, nonporous surfaces by removing gross filth. Apply 1:9 solution and let stand for 5 minutes. Rinse and air dry.Prepare fresh solution daily.

Do not use on non-stainless steel, aluminum, silver or chipped enamel.

Read more at https://www.clorox.com/products/clorox-germicidal-bleach-concentrated/#K7fPM0Hj23oBbhlv.99

C. difficile Care At Home

cleaning-supplies

C.diff infection treated in home environment

Laundry:
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 20 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 contact with C Diff is suspected or likely. The recommended length of time to wash hands is a minimum of 20 to 30 seconds. Singing one rendition 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).
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.

Home Restrooms:  To also help prevent spreading C. diff. spores and to prevent reinfection: Restrooms –  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 is a safer location. Remove bath mat/rug or launder daily in hot water with bleach added (color fabrics may fade due to bleach – read manufacturer labels). Cleaning with disposable towels is beneficial. CDC Recommendation is Utilizing Bleach/Water 1:10 ratio:  1 cup of Bleach + 9 cups of water made fresh daily 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

Hospital Visits:
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 after removing gloves before leaving the room you are visiting, and please wash your hands upon re-entering before new gloves and gown are worn.

ALL “TOUCHABLE (HAND CONTACT)” SURFACES SHOULD BE WIPED
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 by Clorox will NOT kill C Diff Spores *
The Clorox Germicidal Wipes and Solution DO have the EPA Registered C Diff Kill.
Clorox Solution has been located and sold through Lowe’s Home Improvement Centers. Check with local stores for this product.

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.
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 20 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.

 

cdifflogoadjdtrd