Use of primary oral vancomycin prophylaxis to stem an outbreak of <i>Clostridioides difficile</i> infection in intensive care patients

Over 5.5-months, hospital-onset <i>Clostridioides difficile</i> infections (HO-CDI) in intensive care units (ICUs) increased from a baseline 6.2 cases to 19.1 cases per 10,000 patient-days (<i>P</i> = .03). Primary oral vancomycin prophylaxis (OVP) to select patients was initiated; subsequently there were 5.7 cases /10,000 patient-days (<i>P</i> = .05). Primary OVP curbed an outbreak of HO-CDI.

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Publication Details

Journal
Antimicrobial Stewardship & Healthcare Epidemiology
Published
2025-01-01
DOI
https://doi.org/10.1017/ash.2025.10095
Primary Topic
Clostridium difficile and Clostridium perfringens research
Type
article
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article

Use of primary oral vancomycin prophylaxis to stem an outbreak of Clostridioides difficile infection in intensive care patients

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Antimicrobial Stewardship & Healthcare Epidemiology
Clostridium difficile and Clostridium perfringens research
article

Use of primary oral vancomycin prophylaxis to stem an outbreak of Clostridioides difficile infection in intensive care patients

Daniel Rampersad, Anjali Kewalramani, John Quale, Shaurya Sharma, Briana Episcopia, Zhong Qu, Leon Boudourakis, Katrina Sandejas
article en

Abstract

Over 5.5-months, hospital-onset <i>Clostridioides difficile</i> infections (HO-CDI) in intensive care units (ICUs) increased from a baseline 6.2 cases to 19.1 cases per 10,000 patient-days (<i>P</i> = .03). Primary oral vancomycin prophylaxis (OVP) to select patients was initiated; subsequently there were 5.7 cases /10,000 patient-days (<i>P</i> = .05). Primary OVP curbed an outbreak of HO-CDI.

Antimicrobial Stewardship & Healthcare EpidemiologyVol. 5(1)
New York City Health and Hospitals Corporation (US), Kings County Hospital Center (US)
Openalex Percentile: Top 70%
Clostridium difficile and Clostridium perfringens research
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