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Resident NameMR # Date of Birth Resident Location (Hall/room#Date Specimen collected: 2 calendar days CommunityOnset (CO) 2 calendar days Longterm Care Facility Onset (LO)Gender: Male Female Resident
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01
Wear gloves and wash hands thoroughly before coming into contact with the patient.
02
Use a single-use disposable commode for the patient if possible to reduce contamination.
03
Clean the patient's room and bathroom with 1:10 bleach solution to kill C. difficile spores.
04
Ensure the patient is taking prescribed antibiotics as directed by the healthcare provider.
05
Encourage the patient to drink plenty of fluids to prevent dehydration.

Who needs ltc c difficile infection?

01
Patients in long-term care facilities who have been diagnosed with Clostridium difficile (C. difficile) infection.

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LTC C. difficile infection is a bacterial infection that causes inflammation of the colon.
Healthcare facilities and providers are required to report cases of LTC C. difficile infection.
LTC C. difficile infection can be filled out using a standardized reporting form provided by the health department.
The purpose of LTC C. difficile infection reporting is to track and monitor cases of the infection for public health purposes.
Information such as patient demographics, symptoms, laboratory test results, and treatment history must be reported on LTC C. difficile infection.
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