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Airborne dispersal of C-diff -- new research

Specializes in IMCU. Has 9 years experience.

indigo girl

Specializes in Too many to list.

This is not at all surprising. Very possibly Norwalk virus can also be spread in the same way. I think that we did a thread on that once.

I know that they are not changing the recommended personal protective gear to include face masks, but I would still wear one if entering a room where someone was having explosive diarrhea.

Edited by indigo girl

Makes me want to wear a hair cover when working with c. diff patients. One of things I have really wondered about though is why is it that many hospitals don't have locker rooms with showers that allow nurses and MDs to shower the germs off before leaving the hospital and spreading it out into the community?

Makes me want to wear a hair cover when working with c. diff patients. One of things I have really wondered about though is why is it that many hospitals don't have locker rooms with showers that allow nurses and MDs to shower the germs off before leaving the hospital and spreading it out into the community?

at one time, they did.....but as the bottom line become a more prominent concern, they have gone the way of the dodo bird....

Chaya, ASN, RN

Specializes in Rehab, Med Surg, Home Care. Has 15 years experience.

I knew it had to be. All our rooms have those hopper attachments on the toilets that spray a really powerful water jet to clean the bedpans; sometimes you can feel the mist from the spray on your arm! Yeuucch!!

DolceVita, BSN, RN

Specializes in IMCU. Has 9 years experience.

I knew it had to be. All our rooms have those hopper attachments on the toilets that spray a really powerful water jet to clean the bedpans; sometimes you can feel the mist from the spray on your arm! Yeuucch!!

I wear a gown.

Indy, LPN, LVN

Specializes in ICU, telemetry, LTAC. Has 5 years experience.

I hold my breath when cleaning out anything with that spray thing. Seriously.

indigo girl

Specializes in Too many to list.

I knew it had to be. All our rooms have those hopper attachments on the toilets that spray a really powerful water jet to clean the bedpans; sometimes you can feel the mist from the spray on your arm! Yeuucch!!

Yes! And, you are probably breathing it into mouth and throat too. Double yuck! I really think that is how I got my last case of Norwalk. I was gowned and gloved but not masked.

Never again!

carolinapooh, BSN, RN

Has 10 years experience.

This is not at all surprising. Very possibly Norwalk virus can also be spread in the same way. I think that we did a thread on that once.

I know that they are not changing the recommended personal protective gear to include face masks, but I would still wear one if entering a room where someone was having explosive diarrhea.

And shoe covers.

indigo girl

Specializes in Too many to list.

URL below leads to a post on another study related to airborne c-diff spores...

Aerial Dissemination of Clostridium difficile spores - Nursing for Nurses

Thank you!

I always suspect that cost and inconvenience to the facilities are a factor in resistance to changing standards of PPE. And some politically powerful groups get to decide how the caregivers get to protect ourselves based on those factors, and what they want to believe is true even if it might not be. This annoys the heck out of me...

The study produced clear evidence of sporadic aerial dissemination of spores of a clone of C. difficile, a finding which may help to explain why CDAD is so persistent within hospitals and difficult to eradicate. As such, our report is timely because it coincides with concerns that current C. difficile control measures are failing to halt the spread of CDAD. Hopefully, it will encourage others to undertake aerobiological sampling in their own hospitals, so that a proper evaluation of the extent to which C. difficile is being disseminated via the air can be made. If airborne dissemination is a contributory factor to environmental contamination, then the use of negatively-pressurized isolation rooms and improved ward ventilation systems may help to reduce the spread of CDAD in healthcare facilities and these interventions warrant urgent evaluation.

The Brits are a little behind it seems. I had C-Diff in 2008 and my doc told me to be sure and flush the toilet with the lid down because the spores from C-Diff can be air borne about 10 feet (impossible in the hospital I use, it does not have lids on the toilets). So I improvised and asked for a plastic bag and a stack of towels and would cover the toilet with 2 towels while flushing and then dispose of the towels in the plastic bag. To be safe I wiped down the toilet, sink and counter with soap, bleach and water each time I used the bathroom. Making sure I made everyone aware that the bag contained towels exposed to the C-Diff.

DolceVita, BSN, RN

Specializes in IMCU. Has 9 years experience.

The Brits are a little behind it seems. I had C-Diff in 2008 and my doc told me to be sure and flush the toilet with the lid down because the spores from C-Diff can be air borne about 10 feet (impossible in the hospital I use, it does not have lids on the toilets). So I improvised and asked for a plastic bag and a stack of towels and would cover the toilet with 2 towels while flushing and then dispose of the towels in the plastic bag. To be safe I wiped down the toilet, sink and counter with soap, bleach and water each time I used the bathroom. Making sure I made everyone aware that the bag contained towels exposed to the C-Diff.

Sorry but what are the Brits behind in? That BMC article, link above, was submitted for publication in 2007.

ayla2004, ASN, RN

Has 5 years experience.

the research may have occurred in the UK however it is treated as contact precautions. once a person cease to have loose stools for 48 hours they can be moved into a shared room.

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