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Clostridium Difficile associated diarrhoea CDAD

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Clostridium Difficile associated diarrhoea CDAD

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    1. Clostridium Difficile associated diarrhoea (CDAD) Dr Farah Raza Moosvi SHO GPVTS Bromley

    2. Clostridium Difficile Anaerobic Spore producing Toxin producing

    3. Importance of CDAD Environmental spores community reservoir Increased incidence in Bromley – nearly doubled in 2 years Elderly patients (~25 % mortality) Nursing Home

    4. Risk Factors Broad Spectrum Antibiotic (BSA) Duration of antibiotic use PPIs Elderly + BSA consider probiotic Community reservoir infection control Prolonged healthcare stay/NH

    5. Antibiotics responsible Clindamycin Augmentin Cephalosporins Quinolones

    6. Recent Changes…e.g. at the PRUH

    8. Primary Prevention Prudent antibiotic perscribing Reduce use of BSA Probiotics Handwashing Isolation Stool MC&S

    10. Bromley PCT = presently working on Clostridium Difficile action plan

    11. References DoH/HPA Journal of antimicrobial therapy BMJ Journal watch Science daily PRUH Microbiology Dept

    12. ………………. We all need to play our part in help limiting the spread of CDAD…..lets make our community safer Thank You

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