Facebook Pixel Code
Performance
Performance

Clostridium difficile (C. difficile)

Rate and count per 1,000 patient days, excluding patients <12 months of age

Clostridium difficile (C. difficile) infections in children differ in a number of ways from those in adults. We take those differences into account when we carefully analyze monthly rates and individual cases of C. difficile to determine the most appropriate, evidence-based improvement strategies.

 

Feb 2016

Mar 2016

Apr 2016

May 2016

Jun 2016

Jul 2016

Aug 2016

Sep 2016

Oct 2016

Rate

0.80

0.00

0.35

0.36

0.58

0.60

0.59

0.62

0.39

Count

5

<5

<5

<5

<5

6

5

5

6

 

Nov 2016

Dec 2016

Jan 2017

Feb 2017

Mar 2017

Apr 2017

May 2017

Jun 2017

Jul 2017

Rate

0.19

0.79

0.39

0.74

0.18

0.77

0.00

0.73

1.11

Count

<5

5

<5

9

<5

8

<5

8

8

Information about C. difficile in children

Clostridium difficile (C. difficile) disease (CDAD = stands for C. difficile associated diarrhea) is generally associated with hospitalization and antibiotic therapy. It is not as common in children as it is in adults. It can occur weeks after discharge from hospital or after stopping antibiotic therapy. 

Severe cases in children are more likely to occur in certain groups:

  • Severely immunocompromised patients (for example, those with leukemia)
  • Patients with underlying bowel disease

Factors that increase the risk of contracting include:

  • Prolonged hospitalization
  • Having an infected roommate
  • Having symptomatic infected patients on the same ward

What do we do at SickKids to prevent C. difficile infections?

  • Promote hand hygiene and work hard to provide clean environments to prevent infection all the time
  • Monitor closely for new cases and watch for signs of transmission among patients
  • Implement control measures (use of single rooms, careful hand hygiene, gowning, use of gloves, enhanced environmental cleaning) at the first sign of symptoms. The precautions continue until patients are no longer infectious
  • Educate health care and housekeeping staff in hospital
  • Use and counsel use of antibiotics carefully