A cluster of Mycobacterium wolinskyi surgical site infections at an academic medical center.

Objective: To study a cluster of Mycobacterium wolinskyi surgical site infections (SSIs).

Design: Observational and case-control study.

Setting: Academic hospital.

Asymptomatic Clostridium difficile colonization in a tertiary care hospital: admission prevalence and risk factors.

Background: The role of Clostridium difficile (CD) carriers in health care-associated CD transmission has been identified as an area needing research. We investigated the prevalence of, and risk factors for, asymptomatic CD colonization at hospital admission.

Methods: Adults admitted to a tertiary care hospital in Minnesota on predetermined study days between March 1 and April 30, 2009, and without symptoms of C difficile infection, were eligible.

Patient and environmental service employee satisfaction of using germicidal bleach wipes for patient room cleaning.

More healthcare institutions are using bleach products which are sporicidal to reduce Clostridium difficile infection (CDI). There may be patient and employee concerns about the appearance of bleach residue left on surfaces, odors, and respiratory tract irritation. The intervention used bleach wipes for daily and terminal patient room cleaning to reduce transmission of CDI and was implemented on patient care units with a relatively high incidence of CDI.

A targeted strategy to wipe out Clostridium difficile.

This study evaluated daily cleaning with germicidal bleach wipes on wards with a high incidence of hospital-acquired Clostridium difficile infection (CDI). The intervention reduced hospital-acquired CDI incidence by 85%, from 24.2 to 3.