Perceptions of Clostridium difficile infections among infection control professionals in Taiwan
Background: High Clostridium difficile colonization and infection rates among hospitalized patients had been noted in Taiwan. Nevertheless, the cognition about clinical diagnosis and management of CDI among infection control professionals in Taiwan is not clear. Material and methods: A 24-item surve...
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doaj-a0aa826c6a5f4f6bbd4553da43673bba2020-11-24T21:33:40ZengElsevierJournal of Microbiology, Immunology and Infection1684-11822017-08-0150452152610.1016/j.jmii.2017.02.005Perceptions of Clostridium difficile infections among infection control professionals in TaiwanYuan-Pin Hung0Jen-Chieh Lee1Hsiao-Ju Lin2Chun-Wei Chiu3Jia-Ling Wu4Hsiao-Chieh Liu5I-Hsiu Huang6Pei-Jane Tsai7Wen-Chien Ko8Department of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanDepartment of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, TaiwanDepartment of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanDepartment of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, TaiwanDepartment of Microbiology and Immunology, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Medical Laboratory Science and Biotechnology, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanBackground: High Clostridium difficile colonization and infection rates among hospitalized patients had been noted in Taiwan. Nevertheless, the cognition about clinical diagnosis and management of CDI among infection control professionals in Taiwan is not clear. Material and methods: A 24-item survey questionnaire about the diagnosis, therapy, or infection control policies toward CDI was distributed in the annual meeting of the Infectious Disease Society of Taiwan (IDST) in October 2015 and Infectious Control Society of Taiwan (ICST) in April 2016. Results: Totally 441 individuals responded to the survey, and 280 (63.5%) participants would routinely monitor the prevalence of CDI and 347 (78.7%) reported the formulation of infection control policies of CDI in their hospital, including contact precaution (75.7%), wearing gloves (88.9%) or dressing (80.0%) at patient care, single room isolation (49.7%), preference of soap or disinfectant-based sanitizer (83.2%) and avoidance of alcohol-based sanitizer (63.3%), and environmental disinfection with 1000 ppm bleach (87.1%). For the timing of contact precaution discontinuation isolation for CDI patients, most (39.9%) participants suggested the time point of the absence of C. difficile toxin in feces. To treat mild CDI, most (61.9%) participants preferred oral metronidazole, and for severe CDI 26.1% would prescribe oral vancomycin as the drug of choice. Conclusion: There were substantial gaps in infection control polices and therapeutic choices for CDI between international guidelines and the perceptions of medical professionals in Taiwan. Professional education program and the setup of guideline for CDI should be considered in Taiwan.http://www.sciencedirect.com/science/article/pii/S1684118217301147Clostridium difficile infectionDiagnosisInfection controlQuestionnaireTreatmentTaiwan |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuan-Pin Hung Jen-Chieh Lee Hsiao-Ju Lin Chun-Wei Chiu Jia-Ling Wu Hsiao-Chieh Liu I-Hsiu Huang Pei-Jane Tsai Wen-Chien Ko |
spellingShingle |
Yuan-Pin Hung Jen-Chieh Lee Hsiao-Ju Lin Chun-Wei Chiu Jia-Ling Wu Hsiao-Chieh Liu I-Hsiu Huang Pei-Jane Tsai Wen-Chien Ko Perceptions of Clostridium difficile infections among infection control professionals in Taiwan Journal of Microbiology, Immunology and Infection Clostridium difficile infection Diagnosis Infection control Questionnaire Treatment Taiwan |
author_facet |
Yuan-Pin Hung Jen-Chieh Lee Hsiao-Ju Lin Chun-Wei Chiu Jia-Ling Wu Hsiao-Chieh Liu I-Hsiu Huang Pei-Jane Tsai Wen-Chien Ko |
author_sort |
Yuan-Pin Hung |
title |
Perceptions of Clostridium difficile infections among infection control professionals in Taiwan |
title_short |
Perceptions of Clostridium difficile infections among infection control professionals in Taiwan |
title_full |
Perceptions of Clostridium difficile infections among infection control professionals in Taiwan |
title_fullStr |
Perceptions of Clostridium difficile infections among infection control professionals in Taiwan |
title_full_unstemmed |
Perceptions of Clostridium difficile infections among infection control professionals in Taiwan |
title_sort |
perceptions of clostridium difficile infections among infection control professionals in taiwan |
publisher |
Elsevier |
series |
Journal of Microbiology, Immunology and Infection |
issn |
1684-1182 |
publishDate |
2017-08-01 |
description |
Background: High Clostridium difficile colonization and infection rates among hospitalized patients had been noted in Taiwan. Nevertheless, the cognition about clinical diagnosis and management of CDI among infection control professionals in Taiwan is not clear.
Material and methods: A 24-item survey questionnaire about the diagnosis, therapy, or infection control policies toward CDI was distributed in the annual meeting of the Infectious Disease Society of Taiwan (IDST) in October 2015 and Infectious Control Society of Taiwan (ICST) in April 2016.
Results: Totally 441 individuals responded to the survey, and 280 (63.5%) participants would routinely monitor the prevalence of CDI and 347 (78.7%) reported the formulation of infection control policies of CDI in their hospital, including contact precaution (75.7%), wearing gloves (88.9%) or dressing (80.0%) at patient care, single room isolation (49.7%), preference of soap or disinfectant-based sanitizer (83.2%) and avoidance of alcohol-based sanitizer (63.3%), and environmental disinfection with 1000 ppm bleach (87.1%). For the timing of contact precaution discontinuation isolation for CDI patients, most (39.9%) participants suggested the time point of the absence of C. difficile toxin in feces. To treat mild CDI, most (61.9%) participants preferred oral metronidazole, and for severe CDI 26.1% would prescribe oral vancomycin as the drug of choice.
Conclusion: There were substantial gaps in infection control polices and therapeutic choices for CDI between international guidelines and the perceptions of medical professionals in Taiwan. Professional education program and the setup of guideline for CDI should be considered in Taiwan. |
topic |
Clostridium difficile infection Diagnosis Infection control Questionnaire Treatment Taiwan |
url |
http://www.sciencedirect.com/science/article/pii/S1684118217301147 |
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