(D) Contacts with suspected and confirmed Clostridioides difficile infection do require isolation and contact precautions. difficile is primarily a nosocomial infection, handwashing is especially important for protection of susceptible institutionalized patients because they may be taking antibiotics and proton pump inhibitors. (C) Contact precautions (gowns and gloves) and infection control measures, including hand hygiene with soap and water, help prevent spread of Clostridioides difficile. Handwashing with soap and water, however, is an effective strategy for reducing the spread of Clostridioides difficile. Installing alcohol rub dispensers would not be an effective measure to prevent the spread of Clostridioides difficile. (B) While alcohol-based hand rubs are effective against many non-spore forming bacteria and viruses, they do not kill spores of Clostridioides difficile. The most cost-effective and effective measure is hand washing with soap and water. Cleaning alone is not effective because spores can only be killed in certain ways: heat by autoclave, chlorine-releasing cleaning agents, etc.

Of note, even with severe disease, fever is uncommon.Įxplanation 👇 👇 👇 👇 A) Aggressive cleaning has not been shown to be effective against the spread of Clostridioides difficile. Watery stool with flecks of mucus describes the classic “rice water” stool associated with Vibrio cholerae infection. difficile is classically categorized as acute inflammatory diarrhea. difficile infection is a nonobstructive colonic dilatation associated with systemic toxicity, and if left untreated can lead to perforation. difficile infection is profuse watery malodorous diarrhea, and a proportion of patients will also exhibit fever and leukocytosis. difficile bacteria produce both cytopathic and cytotoxic effects with resultant pseudomembranous colitis. (B) Clostridioides difficile is classically categorized as acute inflammatory diarrhea. difficile diarrhea may have mucus, but frank blood is rare. difficile presents with passage of high volume watery stool. Bacterial causes include Campylobacter jejuni and Shigella dysenteriae. Explanation and answer 👇 👇 👇 👇 👇 (A) Dysenteric diarrhea is characterized by frequent passage of small volume stools with blood and mucus.

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