BHRUT - C Difficile

BHRUT have seen rising numbers of patients with C Difficile since last year and some patients acquired CDI whilst in hospital. There have been more infections in thier hospitals than there should be. 

The Trust must keep patients safe from the risk of CDI and have taken the necessary steps to inform all staff, at all levels about how to reduce the number of cases.

It is understood there will be some new guidance shared next week that has been updated for primary care about the importance of ensuring appropriate antibiotic prescribing but the Trust wanted to share the following information with GPs:

BHRUT undertake post-infection reviews for all cases of CDI, and there are themes emerging from these, which are: 

  1. Antibiotic use
  • The use of antibiotics where there is no clear evidence of infection 
  • Not complying with Trust guidelines such as choice and duration 
  • 48-hour review not documented on the drug chart 
  • Prolonged duration of antibiotics 
  1. Lack of an initial suspicion of infectious diarrhoea resulting in delayed testing, management, and treatment of patients 
  2. CDI not being managed as a diagnosis in its own right, with appropriate gastro and surgical management where needed. Due to the significant risk of serious illness and mortality associated with CDI, it is essential that it is managed as a diagnosis, with the need for each patient to be reviewed daily. 

The prevention of infection is everyone’s responsibility. Please share this information with your colleagues.