Abstract
Background: Literature states that 50% of the acute care hospital population is colonized with C. difficile. There are no data to support detection or isolation of patients colonized with C. difficile. Current practice recommendations from the Society for Healthcare Epidemiology (SHEA) and Infectious Diseases of America (IDSA) recommend against the testing of asymptomatic patients. Polymerase Chain Reaction (PCR) testing in our laboratory does not distinguish between colonization and disease. Our facility experienced an increase in the Standardized Infection Ratio (SIR) for LabID HO C. difficile. We sought to identify and implement interventions to achieve an SIR less than 0.7.
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