1396. Analysis of questionnaire results from the pilot C. difficile Prevention Collaborative of New York State, 2011-2012
Session: Poster Abstract Session: Clostridium difficile
Saturday, October 5, 2013
Room: The Moscone Center: Poster Hall C
  • ID Week 1396_Final C. difficile Poster.pdf (426.3 kB)
  • Background: Healthcare-associated infections caused by Clostridium difficile remain at historically high levels, posing a grave threat to patients and long-term care facility (LTCF) residents. The New York State (NYS) Department of Health launched a pilot C. difficile Prevention Collaborative to encourage implementation of C. difficile prevention strategies and to reduce C. difficile infection (CDI) rates in LTCFs. This analysis summarizes key findings from the pre-project questionnaire and provides recommendations to improve infection prevention in LTCFs.

    Methods: Infection preventionists (IPs) in LTCFs enrolled in the pilot C. difficile Prevention Collaborative of NYS (n=106) were administered a pre-project questionnaire. Data were entered into an electronic database, and descriptive statistics were calculated.

    Results: Of the 106 IPs surveyed, 74% (n=78) completed the questionnaire. In LTCFs, 54% (n=42) of IPs reported having received some form of infection control training; 12% (n=5) were Certified in Infection Control. Infection control was a part-time job for 71% (n=55) of IPs. Surveillance information was shared with the following groups: facility leadership (100%, n=78), unit managers (97%, n=76), general nursing staff (71%, n=55), and all physicians providing care to residents (73%, n=57). Regarding C. difficile management, 94% (n=73) of IPs placed residents with suspected CDI on contact precautions, and 62% (n=48) used dedicated non-critical medical items for residents with CDI. For environmental cleaning and disinfection, 87% (n=68) of IPs reported using bleach-based products in the rooms of residents with CDI. Among IPs, 69% (n=54) were able to identify which laboratory testing methods their facilities used to diagnose CDI.

    Conclusion: In NYS, a lack of training might explain the sub-optimal use of dedicated non-critical medical items and presumptive contact precautions. Moreover, limited knowledge of diagnostic procedures and the part-time nature of infection control might indicate insufficient educational and operational resources. Due to the shift in healthcare delivery away from acute care settings, it is imperative that adequate infection control education, training, and resources be available to IPs in LTCFs.

    Michelle L. March, MPH, Monica Quinn, RN, MS, CIC, Nicole Spencer Bryan, MPH, CPH, CIC, Valerie B. Haley, MS and Emily C. Lutterloh, MD, MPH, Bureau of Healthcare-Associated Infections, New York State Department of Health, Albany, NY


    M. L. March, None

    M. Quinn, None

    N. S. Bryan, None

    V. B. Haley, None

    E. C. Lutterloh, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.