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Centre for Policy on Ageing | |
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| Reducing Clostridium difficile infection in acute care by using an improvement collaborative | | Author(s) | Maxine Power, Neil Wigglesworth, Emma Donaldson |
| Journal title | British Medical Journal, vol 341, no 7765, 24 July 2010 |
| Pages | pp 196-199 |
| Source | www.bmj.com BMJ2010;341:c3359 |
| Keywords | Infectious diseases ; Drugs ; Hospital services ; Hygiene ; Clinical surveys ; Salford. |
| Annotation | In 2006, despite a focus on infection control, Salford Royal NHS Foundation Trust had the fourth highest rate of Clostridium difficile infection in north-west England. In February 2007, a newly formed antimicrobial team led the implementation of revised guidelines in all wards and departments. From March to December 2007, five wards participated in the improvement collaborative. Since December 2007, the changes from the collaborative have been collated and implemented throughout the organisation. At baseline, the non-collaborative wards had 1.15 cases per 1000 occupied bed days. In August 2007, cases reduced by 56% from baseline (0.51, 0.44 to 0.60), which has been maintained since that time. In the collaborative wards, there were 2.60 (2.11 to 3.17) cases per 1000 occupied bed days at baseline. A shift occurred in April 2007 representing a reduction of 73% (0.69, 0.50 to 0.91) from baseline, which has been maintained. Careful use of antimicrobial drugs is important in reducing cases of C difficile infection. A collaborative learning model can enable teams to test and implement changes that can accelerate, amplify and sustain control of C difficile. (RH). |
| Accession Number | CPA-100729205 A |
| Classmark | CJA: LLD: LD: LR: 3G: 83D * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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