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Clostridium Difficile

Description

Adult Nursing exam on C. difficile
Kirsty Jayne Buckley
Flashcards by Kirsty Jayne Buckley, updated more than 1 year ago
Kirsty Jayne Buckley
Created by Kirsty Jayne Buckley over 6 years ago
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Question Answer
What type of bacteria is C. difficile? Anaerobic - doesn't need oxygen. Usually lives in the large intestine
How do you kill the spores? (4 ways) Soap and water Sporicidal wipes Hydrogen Peroxide Vapour (HPV) Bleach and water
What makes C.difficile so difficult to kill? It's a spore, not a virus. The spores are extremely hardy Can live for 5 months devoid of food.
List the 6 symptoms Diarrhoea Pyrexia Loss of appetite Nausea Abdominal pain Classic smell
What complication can arise from C. difficile? Pseudomembranous colitis - perforations in bowel allow faeces to leak into the abdominal cavity. Added symptom of blood in the faeces
How is it spread? Same as any infection really - person to person, poor hand hygiene, environmental contamination; commodes, bedrails, tables, lockers, door handles etc etc.
What 4 types of patients are most at risk? Elderly Those with a serious underlying illness Those on broad spectrum antibiotics Those that are critically ill, such as ITU or dialysis patients.
What are the three main risks to patients? Malnutrition Malabsorption Dehydration
What acronym is used? SIGHT S = suspect infective cause I = Isolate patient G = Gloves and aprons H = Hand washing T - Test the stool
Treatment? Metronidazole 400mg & stop broad spectrum antibiotics. Live yogurt Brewers yeast Faecal enemas Faecal transplant
What are the control measures? As well as SIGHT, the patient must be symptom free for 48 hours and the room treated with HPV if possible. Early isolation is key to prevent the spread.
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