1413. Health Care Workers at Long –term Care Facilities-How much do they know about Clostidium diffiicle Infection?
Session: Poster Abstract Session: Clostridium difficile
Saturday, October 5, 2013
Room: The Moscone Center: Poster Hall C
  • IDSA_CDI_Knowledge_Awali.pdf (491.5 kB)
  • Background:

    Healthcare workers (HCWs) at long-term care facilities (LTCFs) are faced with unique challenges while caring for patients with Clostridium difficile infection (CDI). However, there are scant data assessing HCWs’ knowledge of CDI management and prevention at LTCFs.


    A 27- item self-administered questionnaire was provided to all HCWs at four LTCFs in Michigan between November 2012 and March 2013. The survey was designed to assess HCWs' knowledge and understanding of recommended CDI management practices related to diagnosis and prevention. HCWs were divided into 3 tiers according to the extent of direct contact with patients. The first tier (FT) included physicians, nurses, infection control personnel and patient-care assistants; the second tier included dieticians, pharmacists and technicians and the third tier included administrative personnel. Survey results were analyzed using SPSS IBM 21.


    Survey responses were obtained from 265 HCWs. 73% were 36 – 65 years of age, 86% were females, 79 % were FT contacts and 79% had worked at the facility for at least 1 year. 67% of HCWs reported that they had cared for at least one patient with CDI in the previous 6 months.

    19% of HCWs were unsure of whether their facility accepted CDI patients; 68% of these were FTs. Half of all respondents were unsure of whether their facilities had implemented an antibiotic stewardship program ; 48% of these respondents were FTs.Furthermore, 25% of HCWs did not recognize restriction of antibiotics as an effective measure to reduce CDI prevalence. 52% of HCWs were not aware that PCR assay is currently the most sensitive test available for diagnosing CDI. 65 % of the respondents lacked knowledge regarding proper initiation of CDI isolation measures.


    Survey responses demonstrated significant knowledge gaps pertaining to prevention, diagnosis and transmission of CDI, amongst HCWs (specifically FTs) at LTCFs. Efforts should be focused on developing robust educational and interventional programs targeting HCWs at LTCFs.

    Reda Awali, MD, MPH1, Sudha Sadasivan, PhD2, Pragnesh Patel, MD1, Bharat Marwaha, MD1, Caitlin Biedron, M.S.2, Preethy Samuel, PhD2 and Teena Chopra, MD, MPH1, (1)Infectious Diseases, Detroit Medical Center/ Wayne State University, Detroit, MI, (2)Wayne State University, Detroit, MI


    R. Awali, None

    S. Sadasivan, None

    P. Patel, None

    B. Marwaha, None

    C. Biedron, None

    P. Samuel, None

    T. Chopra, 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.