Tag Archives: Cdiff education

C Diff Foundation Announces Appointment of Paul Feuerstadt, M.D., Director of Medical Education

C Diff Foundation, a one hundred percent volunteer, world renowned 501(c)(3) not-for-profit organization, has appointed nationally renowned Gastroenterologist, Dr. Paul Feuerstadt as its first Director of Medical Education.

Dr. Feuerstadt said, “It is my honor to accept this position. I have been involved with the C Diff Foundation over the last 4.5 years and I look forward to assisting in the continued growth of the organization and ensuring that forward progress, awareness and education increases under my tenure. I look forward to working with the board and volunteers to increase awareness and funding across the country and around the world to highlight this disease through in person events, social media, and in the press.”

Dr. Feuerstadt has spent his career refining his practice and expertise in C. difficile. He is dedicated to educating the public through his work with this organization.

Additionally, he plans to offer free patient and provider education through the launch of his new educational website, EverythingCdifficile.com. The goal of the site is to provide education through short videos with relevant clinical information for educational purposes. The site provides concise 3-5 minute lectures covering core topics, recent publications and major conferences about C. difficile infection to educate both patients and providers.

Nancy C. Caralla, Founding President, C Diff Foundation, commented: “Dr. Feuerstadt is a pre-eminent doctor in this space. His dedication and donation of his time and energy to this worthy cause has helped so many patients to date. We look forward to his enhanced leadership and knowledge as the organization grows and strengthens through our advocacy in
the C.diff. community. Dr. Feuerstadt’s new role as Director of Medical Education will provide an additional avenue of support to patients, families, caregivers, and healthcare providers  through his educational media available on EverythingCdifficile.com. We are grateful for Dr. Feuerstadt’s time and dedication as we continue fighting this debilitating disease worldwide.”

About Dr. Paul Feuerstadt:

His areas of interest Clostridioides difficile infection and ischemic diseases of the gut and in these areas he has presented his research extensively, authored and co-authored many manuscripts, textbook chapters and online modules. Another passion of Dr. Feuerstadt’s is teaching, frequently giving lectures locally, regionally and nationally. He holds a clinical appointment as an Assistant Clinical Professor of Medicine at the Yale University School of Medicine and is a full time attending physician at the Gastroenterology Center of Connecticut seeing patients with a broad spectrum of clinical gastroenterological diseases.

Dr. Feuerstadt attended the Weill Medical College of Cornell University in Manhattan for medical school and completed his residency in internal medicine at New York Presbyterian Hospital/Weill Cornell. His clinical fellowship training was completed at Montefiore Medical Center in the Bronx, New York.

 

 

C. diff. Awareness Events Scheduled For November

SHOPPING:

Shop Amazon to support the many programs and educational workshops provided by the C Diff Foundation worldwide —

It’s a pleasure to share the new way to give to the C Diff Foundation.  Amazon will share a portion of the proceeds from your purchases with the  C Diff Foundation.  While you are shopping on-line you are also donating, and we are grateful.

Here is how it works:

* Shop Amazon through AmazonSmile     C Diff Foundation

Click on the link below to access the site

https://smile.amazon.com/ch/46-1272728

                        It is as easy as that!

Education:

http://globalcdifficilecongress.org/

The Global C. difficile Congress FREE Webinar will take place on November 11th at 8:00 a.m. Eastern Time will broaden existing knowledge surrounding C. difficile infection (CDI)  prevention, treatments, and environmental safety worldwide.  The drive and passion takes us forward in promoting the practical and technical advancements taking place across the globe.  Healthcare Professionals from every area of expertise, will discuss the control and  treatment options,  the healthcare perspectives, antibiotic-resistance stewardship programs, and much more to raise awareness and share successful implementations and guidelines.

The Global C. difficile Congress will be eight sessions presented by topic experts  – in four hours – in one day –  with goals to change the C. difficile world with a common focus; To
improve C. diff. infection prevention, treatments, and environmental safety in the healthcare communities worldwide.

Twitter chats and tweets take place in honor of the
Global C. diff. Awareness Campaign From  November 1st throughout the month.

There will be a #CdiffTwitterChat

Join Us on NOVEMBER 18TH at 3:30 p.m. Eastern Time with  International Infectious Disease Expert, Dr. Hudson Garrett Jr. for a real-time Question and Answer Twitter Chat about Clostridium difficile infection and disease. Questions are welcomed from both patients and healthcare providers. Registration is complimentary to all those interested.  Click on the link below for more information:

https://www.facebook.com/events/1411035768914278/

 

VOLUNTEER PATIENT ADVOCATES:

We applaud our Volunteer Patient Advocates around the globe who continue sharing life-saving information from villages to cities organizing meetings during the month of November to reach a little higher, speak a little louder and elevate C. difficile infection awareness, prevention, treatments, and environmental safety for everyone to witness a decrease in C. diff. infections worldwide.  Each Volunteer is a special leaf, on each branch of the growing  C Diff Foundation tree.  Our sincere gratitude to each of our Volunteers worldwide!

Follow the C Diff Foundation on

Facebook    https://www.facebook.com/CdiffFoundationRadio/                                                    Twitter @CDiffFoundation

Pinetrest, and LinkedIn and join the fight and save lives.

Thank you for your support that helps our mission continue moving forward.

Educating and advocating for C. difficile infection prevention, treatments, environmental safety and support worldwide.

Be sure to check back as new events will be added weekly.

Florida’s Tampa Bay Community; Raising C. diff. Awareness Event Planned For November 4, 2016

The Inaugural Tampa Bay Community Sunset Casual Dinner Dance

 “Raising  C. diff. Awareness”  Event

November 4, 2016   5:30pm – 9:30pm

 

 

 

 

 

 

 

Join us for the Inaugural 

Tampa Bay Community Sunset Casual Dinner Dance

“Raising C. diff. Awareness”  

on the evening of

November 4th  from 5:30 to 9:30 at the

Spartan Manor located in

New Port Richey, Florida

Community professionals, families, and friends will be gathered in a beautiful environment
while Raising C. diff. awareness.   There will be C. difficile Infection prevention, treatments, environmental safety information provided by clinicians and healthcare professionals and much more during this fun filled evening in New Port Richey, Florida.

Tickets are $25.00 each and are available through the C Diff Foundation

info@cdifffoundation.org   or Contact the main office toll-free:  1-844-367-2343

Enjoy a four course white glove plated dinner with entree choices of beef or chicken, with outstanding entertainment.

 Music and entertainment will be provided by ML Productions

We look forward to sharing an enjoyable evening with  you on November 4th

 

(click on the above logo to be redirected to our sponsor’s website)

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

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.

 

 

 

 

 

 

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

European Society of Clinical Microbiology and Infectious Disease: Update Of the Diagnostic Guidance Document for Clostridium difficile Infection (CDI)

Abstract

In 2009 the first European Society of Clinical Microbiology and Infectious Diseases (ESCMID) guideline for diagnosing Clostridium difficile infection (CDI) was launched. Since then newer tests for diagnosing CDI have become available, especially nucleic acid amplification tests. The main objectives of this update of the guidance document are to summarize the currently available evidence concerning laboratory diagnosis of CDI and to formulate and revise recommendations to optimize CDI testing. This update is essential to improve the diagnosis of CDI and to improve uniformity in CDI diagnosis for surveillance purposes among Europe. An electronic search for literature concerning the laboratory diagnosis of CDI was performed. Studies evaluating a commercial laboratory test compared to a reference test were also included in a meta-analysis. The commercial tests that were evaluated included enzyme immunoassays (EIAs) detecting glutamate dehydrogenase, EIAs detecting toxins A and B and nucleic acid amplification tests. Recommendations were formulated by an executive committee, and the strength of recommendations and quality of evidence were graded using the Grades of Recommendation Assessment, Development and Evaluation (GRADE) system. No single commercial test can be used as a stand-alone test for diagnosing CDI as a result of inadequate positive predictive values at low CDI prevalence. Therefore, the use of a two-step algorithm is recommended. Samples without free toxin detected by toxins A and B EIA but with positive glutamate dehydrogenase EIA, nucleic acid amplification test or toxigenic culture results need clinical evaluation to discern CDI from asymptomatic carriage.

 

TO READ ARTICLE IN ITS ENTIRETY PLEASE CLICK ON THE FOLLOWING LINK:

http://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(16)30025-8/fulltext#sec2.2