Clostridium difficile, or more commonly known as a C. diff, is one of the 1000 types of bacteria that resides in the human gut. The bacteria in our gut help to keep us healthy by aiding in digestion of our food and preventing bad bacteria from taking over our intestines. People who have other illnesses or a prolonged use of antibiotics can have an altered bacterial composition in the gut. During this time patients can get a C. diff infection, where the otherwise harmless bacteria takes over the gut and grows out of control. This can cause symptoms of diarrhea, belly pain and tenderness and can ultimately lead to Clostridium difficile colitis and possibly sepsis (blood infection). I will discuss these points in later weeks.
C. diff bacteria that does not require oxygen to survive. It takes two forms -- a vegetative and a spore form. It is a fastidious bacteria in its vegetative state, actively releasing toxins. Outside the gut, it lives in a spore form. In this form, the bacteria is resistant to heat, acid, and antibiotics and can live for a very long time. It may be found on things in the environment such as bed linens, bed rails, bathroom fixtures, and medical equipment. It is a bacteria that is found in feces. Patients get infected when they touch items or surfaces with contaminated feces and then touch their mouth or mucous membranes. It can also spread from person-to-person on the hands of doctors, nurses, and other healthcare providers and visitors.
Upon diagnosis of C. diff, patients in hospitals are put into "isolation rooms", although some institutions will isolate patients who are suspected of having C. diff until test results come back negative. Placing patients in isolation rooms ensures that healthcare providers and visitors where gloves and gowns to prevent transmission. Studies have shown that spores may be difficult to remove from hands even with hand washing!
Below is a video with more information about C. diff, although I will provide you more details as the weeks go on.
Also, remember:
ALWAYS WASH YOUR HANDS
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