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Nosocomial Infections

Hannah MacDonald

201505296

Nosocomial infections, now known as healthcare-associated infections (HAIs)

are infections that occur in a health care facility. HAI infect 220,000 Canadians and

about 8,000 die each year. In Canada the most common HAIs are Clostridium difficile

(CDI), methicillin-resistant Staphylococcus aureus (MRSA), Carbapenemase

producing organisms (CPO),vancomycin-resistant Enterococcus (VRE), along with

other bacteria and viruses encountered in healthcare facilities.

Clostridium difficile is a spore forming bacillus. It enters our body by the

mouth and continues to grow in our bowels where it can then be found in our feces.

CDI bacteria are natural in humans but is not life threatening because it balances with

other good bacteria. CDI becomes a concern when it begins to grow at high levels,

producing toxins, which damage the bowel and result in diarrhea. This can be caused

by taking antibiotics to treat other health problems.

A person who has contracted Clostridium difficile has the potential to infect

others. Individuals who touch a surface that has been in contact with CDI and then

touch their mouth are at risk of digesting spores. Spores are present in stools and

outside of the individual with CDI for weeks or months.


It is impossible to completely eliminate CDI in health care facilities, but

measures can be done to help prevent it, such as wear gloves to prevent hand

contamination, the use of soap and water instead of alcohol-based hand rubs, these

precautions must be done before and after visiting the patients. The use antibiotics

judiciously, and keep patients isolated that may, or have CDI.

“C. Difficile Infection (CDI).” Provincial Infection Control Network of British

Columbia, 2019, www.picnet.ca/surveillance/cdi/.

“Clostridioides Difficile (C. Diff).” Centers for Disease Control and Prevention, 17

Dec. 2018, www.cdc.gov/cdiff/clinicians/faq.html.

Healthcare Associated Infections (HAI) . Canadian Patient Safety Instutite, 2016,

www.patientsafetyinstitute.ca/en/Topic/Pages/Healthcare-Associated-Infections-

(HAI).aspx.

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