Surveillance C Diff p.1 of 2 Revised Aug. 12, 2008 . 0645
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Recommendations for Surveillance of Clostridium difficile Infection (CDI) 8/12/2008 Admission HO-HCFA Discharge < 4 weeks post DC CO-HCFA 4-12 weeks Post DC Indetermin ate >12 weeks CA Time- lines ** CO-HCFA: Community Onset- Healthcare Facility Associated CDI has onset on admission or within the 48 hour window, and symptom onset was < 4 weeks since last discharge from a HCF. ** CA: Community Associated CDI has onset on admission or within the 48 hour window and patient onset was > than 12 weeks since last discharge from a HCF. HO-HCFA: Healthcare Onset- Healthcare Facility Associated. CO-HCFA: Community Onset -Healthcare Facility Associated. Indeterminate disease: If CDI onset is within a 4-12 weeks time period since last discharge from a HCF. HCF: Healthcare facility. Defined as any acute care, long-term care, long term acute care, or other facility in which skilled nursing care is provided and patients are admitted at least overnight. *48hrs=Two complete 24 hour days. ** 4 weeks prior to admission *48 hrs 1 of 2
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Transcript of Surveillance C Diff p.1 of 2 Revised Aug. 12, 2008 . 0645
Recommendations for Surveillance of Clostridium difficile Infection(CDI)
8/12/2008
Admission
HO-HCFA
Discharge
< 4 weeks post DC
CO-HCFA
4-12 weeksPost DC
Indeterminate
>12 weeks
CA
Time-lines
** CO-HCFA: Community Onset- Healthcare Facility Associated CDI has onset on admission or within the 48 hour window, and symptom onset was < 4 weeks since last discharge from a HCF. ** CA: Community Associated CDI has onset on admission or within the 48 hour window and patient onset was > than 12 weekssince last discharge from a HCF.
HO-HCFA: Healthcare Onset- Healthcare Facility Associated.CO-HCFA: Community Onset -Healthcare Facility Associated.Indeterminate disease: If CDI onset is within a 4-12 weeks time period since last discharge from a HCF.HCF: Healthcare facility. Defined as any acute care, long-term care, long term acute care, or other facility in which skilled nursing careis provided and patients are admitted at least overnight.*48hrs=Two complete 24 hour days.
Adapted from CDI Surveillance Working Group. Infect Control Hosp Epidemiol 2007; 28: 140-145.
Adapted from CDI Surveillance working group, Infect Control Hosp Epidemiol 2007; 28:140-145.
**
4 weeks prior to admission *48 hrs
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