Infections with: Clostridioides (Clostridium) difficile
NB: Other multiresistant organisms may be transmitted nosocomially. Consultation with Infection Prevention and Control is recommended.
Infective Material
Body fluids or secretions containing organism; usually feces
Mode of Transmission
Direct contact. Inanimate objects from patient room often harbor organisms.
| Precautions | Acute Care | Long Term Care |
|---|---|---|
| Single Room | Yes | Assess each situation individually. |
| Gloves | Worn upon entry into care room and removed prior to exit. | If in direct contact with colonized or infected body fluids/secretions. Perform hand hygiene at all times when leaving patient room. |
| Gowns | Worn upon entry into care room and removed prior to exit. | If direct contact with colonized or infected body fluids/secretions. |
| Mask | No | No |
Duration of Precautions
Consult Infectious Diseases regarding clinical management of non-resolving cases.
Contact site Infection Prevention and Control for issues regarding precautions, including when precautions may be discontinued. Typically, precautions may be discontinued when the patient is both asymptomatic and able to resume good bowel routine for 48 – 72 hours though some favour prolonged isolation.
Routine repeat laboratory testing of stool is NOT necessary.