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How should care home staff clean the environment following a C difficile infection?

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Article: Smith S et al (2013) Supporting care homes to cut C difficile infections. Nursing Times; 109: 5, 14-15.


  1. C difficile is increasingly a community-acquired infection
  2. Some patients experience recurrent episodes of C difficile
  3. Deep cleaning in care homes can help prevent such recurrences
  4. Hospital nurses can provide skills, knowledge and support to community teams
  5. By working in partnership, nurses can keep the circulation of pathogens between hospital and the community to a minimum

Let’s discuss

  • List the patient groups who are at high risk of contracting C difficile? 
  • Describe how C difficile is transmitted?
  • After reading this article explain why is there an increase in the numbers of community acquired C difficile infections?
  • Why do you think the authors of this article were successful in reducing  infections?
  • What steps should care home staff take to clean the environment following a C difficile infection?
  • How would you train community domestic support teams to manage environmental cleaning after an infection?



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