Description of the Clostridium Difficile Bacteria
explanatory Essay
1362 words
Clostridium Difficile (C. difficile) is a bacteria-related gastrointestinal infection that is caused (etiology) by the use of antibiotics therapy or exposure to the C. difficile spores (Swartz, 2013). According to published reports compiled by the California Department of Public Health (CDPH), National Safety Network (NHSN), and the Center for Disease Control Prevention (CDC), the rate of CDI have a major financial impact (costs associated with medical management of CDI) on health care institution across the United States. CDI is major concern for hospital administrators and patients at Sharp Grossmont Hospital (SGH) and other in hospitals within the Sharp Healthcare Network (SHN). According to data released by CPDH and the CDC, from January to December 2012 three hospitals within the (SHN) reported 136 new cases of CDI. Statistical data also show that 20,000 to 34,000 patients were admitted or readmitted to the hospitals for recurrent complications related to CDI such as electrolyte imbalance, nutrition deficits, and systemic bacteremia (CDPH, 2013).
Fecal Microbiota Transplantation Program
According to Rohike and Stollman (2012), fecal microbiotic transplantation (FMT) first was used in 1958, as a treatment option for patients with antibiotic-associated diarrhea. However, the procedure was rarely performed or used in medical practice in the United States and in other countries. Because of increasing incidences and severity of CDI, FMT has gain acceptance as a quick and inexpensive treatment option (Brandt, 2012) for recurrent CDI. FMT involves the instillation of fecal material from a healthy individual into the intestinal track of a patient with recurrent CDI. Fecal material can be administered via endoscopy and colon...
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...ology & Hepatology, 8(3), 191-194.
* Swartz, T. (2013). Cutting C. diff by 70%. Healthcare Leadership Review, 32(11), 7-9. Retrieved from http://search.proquest.com/docview/1438641165?accountid=458
Borkowski, N. (2005). Organizational behavior in health care. Sudbury, MA: Jones and Bartlett Publishers.
Pathak, R., Enuh, H.A., Patel, A., & Wickremesinghe, P., (2013). Treatment of relapsing Clostridium difficile infection using fecal microbiota transplantation. Clinical and Experimental Gastroenterology, 2014 (7), 1-6.
*Rohike, F., & Stollman, N. (2012). Fecal microbiota transplantation in relapsing Clostridium difficile infection. Therapeutic Advances in Gastroenterology. 5 (6), 403-419.
http://www.gastro.org/advocacy-regulation/regulatory-issues/cms-releases-physician-fee-schedule-final-rule
http://www.sharp.com/foundation/index.cfm
http://www.cdph.ca.gov
In this essay, the author
- Explains that clostridium difficile (c. difficile) is a bacteria-related gastrointestinal infection caused by the use of antibiotics therapy or exposure to the spores.
- Explains that fecal microbiotic transplantation (fmt) is a quick and inexpensive treatment option for recurrent cdi.
- Explains that health care organizations receive reimbursement from third party payers and from the centers for medicare and medicaid services (cms) for performing fmt procedures.
- Explains that clostridium difficile (c. difficile) is a bacteria-related gastrointestinal infection caused by the use of antibiotics therapy or exposure to the spores.
- Explains that fecal microbiotic transplantation (fmt) is a quick and inexpensive treatment option for recurrent cdi.
- Explains that health care organizations receive reimbursement from third party payers and from the centers for medicare and medicaid services (cms) for performing fmt procedures.
- Explains the fmt implementation plan, which involves a multi-step, interdisciplinary collaboration process.
- Explains the importance of community and patient education programs to increase awareness and severity of cdi and minimize fear and hesitancy for participation in the fmt program.
- Explains how the fmt program can be achieved through an interdisciplinary, computerized interactive data tracking system.
- Explains that sharp grossmont hospital has numerous interdisciplinary and professional resources to implement the fmt program.
- Explains grossmont hospital foundation is a philanthropic, not-for-profit organization that provides health education, clinical research, patient care services, and funds projects and ventures associated with sgh and sharp’s hospice service.
- Describes kurt lewin's force field analysis and model of change as a series of forces pulling in different directions within the organization.
- Explains unfreezing occurs when organizational leadership and managers communicate a need for change in current policies, procedures, and practices.
- Explains that refreezing involves assessing, monitoring, and evaluating the implemented change. organizational goals are achieved through a change in daily operation and work design processes.
- Explains that fmt has evidence-based benefits, such as improved patient health outcomes, and increased incidences of cdi.
- Explains that fecal microbiota transplantation relapsing clostridium difficile infection in 26 patients: methodology and results.
- Explains swartz, t., and borkowski, n. (2005). organizational behavior in health care.
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- Explains that the biological characteristics of c. difficile infection remain indeterminate in the pediatric population.
- Explains that c. difficile is becoming more and more recognizable as a substantial co-morbid factor in well-known pediatric inpatient populations.
- Opines that prior antimicrobial use is the most essential risk factor for c. difficile infection. diminishing antibiotic use, such as surgical antibiotic prophylaxis, is vital in lessening the risk.
- Opines that epidemiology, pathogenesis, treatment, and prevention of c. difficile remain unanswered, citing studies predating the appearance of the prevalent strain.
- Explains that the rate of acquisition of c. difficile throughout hospitalization is relative to the length of stay and can be as high as 40% after 1 month. increasing rates should stimulate additional exploration and prevention measures.
- Explains that antimicrobial stewardship has been proven effective in the prevention of nosocomial infections, but supplementary procedures must be employed to achieve optimal success.
- Explains clorox healthcare bleach germicidal wipes, which are approved by the environmental protection agency, are an important supplement to environmental cleaning, but must be used correctly to be effective.
- Explains that the sterilray far-uv disinfection wand is an innovative environmental disinfection tool that destroys c. difficile swiftly spores and other healthcare-associated pathogens
- Explains that the proposed study design is a prospective multiple-crossover trial due to several advantages, including the fact that each crossover patient functions as his or her own control. case control studies are observational because no intervention or interference is attempted.
- Explains that the main outcome (dependant variable) is the reduction of c. difficile. the main predictor variables are clorox healthcare bleach germicidal wipes and the sterilray disinfection wand device.
- Explains that the study population would include approximately 1,500 pediatric patients in three icus. the primary outcome would be the reduction of c. difficle and is a continuous variable.
- Explains that two observers will examine the practices of health care workers in each icu to measure compliance with disinfection practices. the observations will be disseminated uniformly over eight months.
- Concludes that c. difficile contaminates medical equipment and devices through fecal shedding or by way of contaminated hands of patients or healthcare professionals.
- Recommends clorox healthcare bleach germicidal wipes and sterilray disinfection wands to eliminate the devastating burden of c. difficile infection.
- Cites carrico, r. m., archibald, l. k. bryant, e. garcia, j. g. gould, c.
- Describes the clinical practice guidelines for clostridium difficile infection in adults: 2010 update by the society for healthcare epidemiology of america (shea) and the infectious diseases society (idsa).
- Explains kim, smathers, prasad, leckerman, coffin, and zaoutis, epidemiological features of clostridium difficile-associated disease among inpatients at children's hospitals in the united states, 2001-2006.
- Describes mills, chan, a.-w., wu, vail, guyatt, and altman, d.
- Evaluates a hand-held far-ultraviolet radiation device for decontaminating clostridium difficile and other healthcare-associated pathogens.
- Describes the future research needs for prevention and treatment of clostridium difficile infection.
- Explains orenstein, aronhalt, mcmanus, & fedraw, l. a. (2011), a targeted strategy to wipe out clostridium difficile.
- Describes the five years experience of clostridium difficile infection in children at uk tertiary hospital.
- Analyzes tamma, p. d., and sandora t. j. (2012). clostridium difficile in children: current state and unaswered questions.
- Explains that clostridium difficile exposure as an insidious source of infection in healthcare settings: an epidemiological model.
- Describes zilberberg, tillotson, and mcdonald's findings on clostridium difficile infections among hospitalized children.
2781 wordsRead More - What is Ulcerative Colitisexplanatory essayThe role of intestinal fauna was not well understood before this. Recent microbial research has shown that bacteriotherapy can also be used for treatment. “Colonic infusion of donor human intestinal flora can reverse ulcerated colitis in select patients”.
In this essay, the author
- Describes ulcerative colitis as a chronic disease that affects the colon and rectum. the symptoms of the disease include cramping, blood in the stool, fever, joint pain, diarrhea, rectal discomfort and the loss of weight.
- Explains that ulcerative colitis is a kind of irritable bowel syndrome and is more common in males.
- Explains that ulcerative colitis is inheritable and therefore can be genetic in nature. the most important cause is immunological response of the human body.
- Describes ulcerative colitis as a chronic disease that affects the colon and rectum. the symptoms of the disease include cramping, blood in the stool, fever, joint pain, diarrhea, rectal discomfort and the loss of weight.
- Explains that ulcerative colitis is a kind of irritable bowel syndrome and is more common in males.
- Explains that ulcerative colitis is inheritable and therefore can be genetic in nature. the most important cause is immunological response of the human body.
- Explains that ulcerative colitis affects the colon, rectum, and other parts of the body.
- Explains that ulcerative colitis is treated with corticosteroids, cyclosporine, aminosalicyclates, but newer methods have been developed for more efficient treatment and management.
925 wordsRead More