Clostridium Difficile (CDI) Causes Severe Problems In Nursing Home and Long Term Care Facilities
Clostridium difficile infection (CDI) caused by an anaerobic, gram-positive, spore-forming bacillus organism, is the most common cause of healthcare-associated infectious diarrhea in healthcare facilities and has the potential to cause outbreaks in hospitals and other settings.
Exacerbated by the use of antimicrobial agents in the majority of cases, this disease has caused illness in all ages; however, the elderly (individuals 65 years of age or older) are at particular risk for this infection and of concern is the notable increase in morbidity and mortality in this population.
This article discusses CDI with emphasis on the challenges of this disease and infection prevention measures in the nursing home setting.
The term “nursing home” is defined by Webster’s New World Medical Dictionary” as a residential facility for persons with chronic illness or disability, particularly older people who have mobility and eating problems.” Nursing homes are also referred to as convalescent homes or long-term care (LTC) facilities. The terms nursing home and LTC facility are used interchangeably.
In 2010, patients aged 65 years or older had the highest rate of CDI with 19.3 cases per 1,000 hospitalizations, and this variable has prevailed since 1995. Data on the elderly has been consistent with national reports on CDI hospitalization rates.
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