Practice guidelines for the prevention of C. difficile infections established by the American College of Gastro-enterology (ACG) Practice Parameters Committee were published in 1997 (Fekety, 1997) (Table 51-3). Guidelines emphasized the limitation of antimicrobial usage and the use of universal precautions, including handwashing between patient contact, using gloves when handling bodily substances, using disposable thermometer covers, and using enteric isolation procedures for patients infected with C. difficile. The ACG also recommends disinfecting contaminated objects and surfaces with sodium hypochlorite, alkaline glutaraldehyde, or ethylene oxide. Education of physician and nursing staff regarding the disease and its epidemiology is highly recommended.

TABLE 51-3. Practice Guidelines for Clostridium difficile Prevention

1. Limit the use of antimicrobial drugs

2. Wash hands between contact with all patients

3. Use enteric (stool) isolation precautions for patients with C. difficile diarrhea

4. Wear gloves when contacting patients with C. difficile diarrhea or their environment

5. Disinfect objects contaminated with C. difficile with sodium hypochlorite, alkaline glutaraldehyde, or ethylene oxide

6. Educate the medical, nursing, and other appropriate staff members about the disease and its epidemiology.

Adapted from Linevsky and Kelly, 1997.

Reproduced with permission from Fekety, 1997.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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