{"id":6822,"date":"2016-11-14T14:13:18","date_gmt":"2016-11-14T19:13:18","guid":{"rendered":"http:\/\/52.229.122.34\/en\/?page_id=6822"},"modified":"2026-03-12T10:56:31","modified_gmt":"2026-03-12T14:56:31","slug":"clostridium-difficile-c-difficile","status":"publish","type":"page","link":"https:\/\/www.ottawahospital.on.ca\/en\/quality-safety\/reporting\/indicator-reporting\/clostridium-difficile-c-difficile\/","title":{"rendered":"Clostridium difficile (C. difficile)"},"content":{"rendered":"<p><em>C.difficile<\/em> is just one of the many types of bacteria that can be found in the environment and the intestines.\u00a0 For most people, it does not pose a health risk.\u00a0 However, <em>C.difficile<\/em> associated disease (CDAD) can sometimes occur when antibiotics are prescribed.\u00a0 Antibiotics work by killing off bacteria, the bad bacteria-but also the good bacteria.\u00a0 This can allow the <em>C.difficile<\/em> bacteria to multiply, which may cause diarrhea and can damage the bowel.<\/p>\n<p>CDAD is the most common cause of infectious diarrhea in health care facilities.\u00a0 The effects of CDAD are usually mild by can sometimes be more severe.\u00a0 In severe cases, surgery may be needed, and in extreme cases CDAD may cause death.<\/p>\n<p>For further information, view the <a href=\"\/en\/documents\/2017\/01\/cdiff-2017-pt-info.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">C. difficile Patient Information Sheet<\/a>.<\/p>\n<h2>Rates of C. <em>difficile<\/em><\/h2>\n<p>It is important to note the <em>C.difficile<\/em> rates, as in the case for all infections, can fluctuate over the course of a year for a number of reasons.\u00a0 For example in winter, we admit more patients with respiratory infections.\u00a0 An increase of respiratory infections often results in increased use of antibiotics, a leading factor in new cases of <em>C. difficile.<\/em><\/p>\n<p>When The Ottawa Hospital experience cases of <em>C. difficile,<\/em> they are usually contained in a limited geographic area or unit of the hospital.\u00a0 Also, compared to the overall number of patients admitted each year, these cases are relatively low in number. The Ottawa Hospital follows a number of procedures to control and manage new cases of <em>C. difficile<\/em>.\u00a0 As described in the provincial best practice standards for managing <em>C.difficile<\/em> we:<\/p>\n<ul>\n<li>Isolate individuals identified or suspected to have <em>C. difficile,<\/em> wearing gloves to enter their rooms<\/li>\n<li>Ensure that all patients suspected of having <em>C. difficile<\/em> are tested<\/li>\n<li>Remind all staff about the importance of\u00a0 hand hygiene<\/li>\n<li>Ensure effective cleaning of all patient rooms<\/li>\n<li>Ensure that visitors are instructed in hand washing and other control measures<\/li>\n<li>Provide education where needed so that all members of our team are up-to-date with current management strategies<\/li>\n<li>Ensure that all patients with <em>C. difficile<\/em> infection are appropriately treated<\/li>\n<\/ul>\n<p>The view the monthly rates of hospital acquired <em>C. difficile<\/em> please click on the link below:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.hqontario.ca\/public-reporting\/patient-safety\" target=\"_blank\" rel=\"noopener noreferrer\">C-<em>difficile<\/em> Rates for All Ontario Hospitals<\/a><\/li>\n<\/ul>\n<h2>C-<em>difficile <\/em>Rates at The Ottawa Hospital:<\/h2>\n<div class=\"table-responsive\">\n<table class=\"table\" title=\"C-difficile Rates at The Ottawa Hospital\"><caption class=\"hidecontent\">C-difficile Rates for All Ontario Hospitals<\/caption>\n<tbody>\n<tr>\n<th style=\"width: 132px;\" scope=\"col\">\u00a0<\/th>\n<th style=\"width: 195px;\" colspan=\"3\" scope=\"col\">Civic Campus<\/th>\n<th style=\"width: 194px;\" colspan=\"3\" scope=\"col\">General Campus<\/th>\n<th style=\"width: 200px;\" colspan=\"3\" scope=\"col\">The Rehabilitation Centre<\/th>\n<\/tr>\n<tr>\n<th scope=\"col\">Monthly<\/th>\n<th style=\"width: 64px;\" scope=\"col\">Nosoc. Cases<\/th>\n<th style=\"width: 62px;\" scope=\"col\">*Pt Days<\/th>\n<th style=\"width: 69px;\" scope=\"col\">Incidence per 1000\u00a0 pt days<\/th>\n<th style=\"width: 61px;\" scope=\"col\">Nosoc. Cases<\/th>\n<th style=\"width: 62px;\" scope=\"col\">*Pt Days<\/th>\n<th style=\"width: 71px;\" scope=\"col\">Incidence per 1000\u00a0 pt days<\/th>\n<th style=\"width: 67px;\" scope=\"col\">Nosoc. Cases<\/th>\n<th style=\"width: 62px;\" scope=\"col\">*Pt Days<\/th>\n<th style=\"width: 71px;\" scope=\"col\">Incidence per 1000\u00a0 pt days<\/th>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left; color: #0033a0;\" colspan=\"10\" scope=\"col\">Fiscal Year 2025-2026<\/th>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">April 2025<\/th>\n<td style=\"text-align: center;\">5<\/td>\n<td style=\"text-align: center;\">19,003<\/td>\n<td style=\"text-align: center;\">0.26<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">18,737<\/td>\n<td style=\"text-align: center;\">0.16<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,042<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">May 2025<\/th>\n<td style=\"text-align: center;\">6<\/td>\n<td style=\"text-align: center;\">19,454<\/td>\n<td style=\"text-align: center;\">0.31<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">18,819<\/td>\n<td style=\"text-align: center;\">0.11<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,974<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">June 2025<\/th>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">19,402<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">17,721<\/td>\n<td style=\"text-align: center;\">0.17<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,067<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">July 2025<\/th>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">19,525<\/td>\n<td style=\"text-align: center;\">0.10<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">18,963<\/td>\n<td style=\"text-align: center;\">0.16<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,127<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">August 2025<\/th>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">19,176<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">18,786<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,098<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">September 2025<\/th>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">19,562<\/td>\n<td style=\"text-align: center;\">0.10<\/td>\n<td style=\"text-align: center;\">6<\/td>\n<td style=\"text-align: center;\">18,741<\/td>\n<td style=\"text-align: center;\">0.32<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,039<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">October 2025<\/th>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">20,429<\/td>\n<td style=\"text-align: center;\">0.10<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">19,149<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,039<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">November 2025<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">19,818<\/td>\n<td style=\"text-align: center;\">0.15<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">18,597<\/td>\n<td style=\"text-align: center;\">0.11<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,034<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">December 2025<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">19,757<\/td>\n<td style=\"text-align: center;\">0.15<\/td>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">18,984<\/td>\n<td style=\"text-align: center;\">0.11<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,012<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">January 2026<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">20,599<\/td>\n<td style=\"text-align: center;\">0.15<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">19,639<\/td>\n<td style=\"text-align: center;\">0.20<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,004<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">February 2026<\/th>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">18,514<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">17,385<\/td>\n<td style=\"text-align: center;\">0.17<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,830<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left; color: #0033a0;\" colspan=\"10\" scope=\"col\">Fiscal Year 2024-2025<\/th>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">April 2024<\/th>\n<td style=\"text-align: center;\">5<\/td>\n<td style=\"text-align: center;\">19,503<\/td>\n<td style=\"text-align: center;\">0.26<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">18,647<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,991<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">May 2024<\/th>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">19,530<\/td>\n<td style=\"text-align: center;\">0.20<\/td>\n<td style=\"text-align: center;\">7<\/td>\n<td style=\"text-align: center;\">19,321<\/td>\n<td style=\"text-align: center;\">0.36<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">1,955<\/td>\n<td style=\"text-align: center;\">0.51<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">June 2024<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">19,212<\/td>\n<td style=\"text-align: center;\">0.16<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">18,143<\/td>\n<td style=\"text-align: center;\">0.06<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,955<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">July 2024<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">19,558<\/td>\n<td style=\"text-align: center;\">0.15<\/td>\n<td style=\"text-align: center;\">6<\/td>\n<td style=\"text-align: center;\">18,840<\/td>\n<td style=\"text-align: center;\">0.32<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,011<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">August 2024<\/th>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">19,664<\/td>\n<td style=\"text-align: center;\">0.20<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">19,115<\/td>\n<td style=\"text-align: center;\">0.21<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,940<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">September 2024<\/th>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">19,698<\/td>\n<td style=\"text-align: center;\">0.10<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">18,543<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,854<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">October 2024<\/th>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">20,047<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">19,207<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,915<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">November 2024<\/th>\n<td style=\"text-align: center;\">2<\/td>\n<td style=\"text-align: center;\">19,498<\/td>\n<td style=\"text-align: center;\">0.10<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">19,038<\/td>\n<td style=\"text-align: center;\">0.21<\/td>\n<td style=\"text-align: center;\">\u00a00<\/td>\n<td style=\"text-align: center;\">1,994<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">December 2024<\/th>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">19,431<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">19,304<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,047<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">January 2025<\/th>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">20,581<\/td>\n<td style=\"text-align: center;\">0.05<\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td style=\"text-align: center;\">20,056<\/td>\n<td style=\"text-align: center;\">0.20<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,106<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">February 2025<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">18,640<\/td>\n<td style=\"text-align: center;\">0.16<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td style=\"text-align: center;\">17,774<\/td>\n<td style=\"text-align: center;\">0.06<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">1,842<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<tr>\n<th class=\"text-left\" style=\"text-align: left;\" scope=\"row\">March 2025<\/th>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">19,428<\/td>\n<td style=\"text-align: center;\">0.15<\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td style=\"text-align: center;\">19,595<\/td>\n<td style=\"text-align: center;\">0.15<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td style=\"text-align: center;\">2,040<\/td>\n<td style=\"text-align: center;\">0.00<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C.difficile is just one of the many types of bacteria that can be found in the environment and the intestines.\u00a0 For most people, it does not pose a health risk.\u00a0 However, C.difficile associated disease (CDAD) can sometimes occur when antibiotics are prescribed.\u00a0 Antibiotics work by killing off bacteria, the bad bacteria-but also the good bacteria.\u00a0 [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":1963,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_mc_calendar":[],"footnotes":""},"class_list":["post-6822","page","type-page","status-publish","hentry"],"acf":[],"wps_subtitle":"","_links":{"self":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/6822","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/comments?post=6822"}],"version-history":[{"count":2,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/6822\/revisions"}],"predecessor-version":[{"id":277787,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/6822\/revisions\/277787"}],"up":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/1963"}],"wp:attachment":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media?parent=6822"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}