Infection Control Hospital Epidemiology (2023,44,527-549dot10.1017/ce2023.18SHEASHEA/IDSA/APIC Practice RecommendationStrategies to prevent Clostridioides difficile infections in acute-carehospitals:2022 UpdateLarry K.Kociolek MD,MSCI,Dale N.Gerding MD2,Ruth Carrico PhD,DNP,APRN,CIC3 Philip Carling MD,Curtis J.Donskey MD5,Ghinwa Dumyati MD5 David T.Kuhar MD7,Vivian G.Loo MD,MSc,Lisa L.Maragakis MD,MPH9,Monika Pogorzelska-Maziarz PhD,MPH10,Thomas J.Sandora MD,MPH11,David J.Weber MD,MPH12,Deborah Yokoe MD,MPH13 and Erik R.Dubberke MD,MSPH14Northwestem University Feinberg School of Medicine,Ann Robert H.Lurie Children's Hospital of Chicago,Chicago,lllinois,United States,2Edward Hines Jr.Veterans'Affairs (VA)Hospital,Hines,Illinois,United States,3Norton Healthcare,Louisville,Kentucky,United States,Boston University School of Medicine,Boston,Massachusetts,United States,5Case Westem Reserve University School of Medicine,Cleveland VA Medical Center,Cleveland,Ohio,United States,University of Rochester Medical Center,Rochester,New York,United States,Division of Healthcare Quality Promotion,Centers for Disease Control andPrevention,Atlanta,Georgia,United States,McGill University,McGill University Health Centre,Montreal,Quebec,Canada,Johns Hopkins University School ofMedicine,The Johns Hopkins Hospital,Baltimore,Maryland,United States,1Thomas Jefferson University,Philadelphia,Pennsylvania,United States,BostonChildren's Hospital,Harvard Medical School,Boston,Massachusetts,United States,School of Medicine,University of North Carolina,Chapel Hill,NorthCarolina,United States,University of Califomia San Francisco,UCSF Health-UCSF Medical Center,San Francisco,Califomia,United States and MWashingtonUniversity School of Medicine,St.Louis,Missouri,United StatesObjectiverecommendations contained in this document is provided inTable 1.Previously published guidelines provided comprehensive recom-mendations for detecting and preventing healthcare-associatedinfections(HAIs).The intent ofthis document is to highlight prac-Essential practicestical recommendations in a concise format designed to assist acute-In the 2014 Compendium,encouraging appropriate use of antimi-care hospitals to implement and prioritize their Clostridioidescrobials for CDI and other infections was considered an essentialdifficile infection(CDI)prevention efforts.This document updatespractice,but formal adoption of an antimicrobial stewardshipthe Strategies to Prevent Clostridium difficile Infections in Acuteprogram was considered an additional approach.In the 2022Care Hospitals published in 2014.This expert guidance documentCompendium,encouraging appropriate use of antimicrobials byis sponsored by the Society for Healthcare Epidemiology ofimplementing an antimicrobial stewardship program is now recom-America(SHEA)and is the product of a collaborative effort ledmended as an essential practice.Implementation of diagnostic stew-by SHEA,the Infectious Diseases Society of America (IDSA),ardship practices
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