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Study Title and Description

Successful control of Clostridium difficile infection in an elderly care unit through use of a restrictive antibiotic policy.



Key Questions Addressed
3 Key Question 3 - Prevention interventions
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4 Key Question 4 - Studies of Multiple Interventions used together to reduce CDI incidence
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Primary Publication Information
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TitleData
Title Successful control of Clostridium difficile infection in an elderly care unit through use of a restrictive antibiotic policy.
Author McNulty C., Logan M., Donald IP., Ennis D., Taylor D., Baldwin RN., Bannerjee M., Cartwright KA.
Country Public Health Laboratory, Gloucestershire Royal Hospital, UK.
Year 1997
Numbers Pubmed ID: 9421320

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: Key Question 2 - Prevention interventions (Table 4)
Design Details
Question... Follow Up Answer Follow-up Answer
Country UK
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Study Design Retrospective time series (before-after)
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Population Hospital patients, elderly care unit
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Category of Intervention Multiple Interventions
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Intervention Antimicrobial use, isolation, patient/staff movement, hand hygiene, patient room practices, intensified environmental cleaning
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Outcome CDI incidence
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Findings Thirty-seven cases of CDI occurred in the period before and 16 in the period after policy change (combined approach of infection control and strict antibiotic policies).
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Quality Issues Retrospective, no concurrent control
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Results & Comparisons

No Results found.

Extraction Form: Key Question 2 - Studies of Multiple Interventions used together to reduce CDI incidence (Tables 5, 6)
Arms
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Design Details
Question... Follow Up Answer Follow-up Answer
Type of Study Retrospect time series (before–after
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Epidemic or Excessive Incidence? Yes
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CDI incidence Decreased After intervention? Yes
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Results & Comparisons

No Results found.

Quality Dimensions
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Quality Rating
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