Microbiology Nuts & Bolts
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  • Basic Concepts
    • What is infection?
    • Normal flora
    • Diagnosing infection
  • Microbiology
    • Basic bacterial identification
    • Interpreting bacteriology results
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  • Infection Control
    • What is infection control?
    • Universal precautions
    • MRSA
    • Clostridium difficile
  • Clinical Scenarios
    • Respiratory infections
    • Urinary infections
    • GI infections >
      • D&V
      • CDAD
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    • Sepsis
  • Antibiotics
    • Antimicrobial Stewardship
    • How antibiotics work
    • How to choose an antibiotic?
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    • Testing antibiotic resistance
    • Penicillin allergy
    • Theraputic Drug Monitoring
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Clostridium difficile Associated Disease (CDAD)

The bacterium Clostridium difficile was reclassified in 2016 to Clostridioides difficile but as this has not yet become mainstream this website and the book will continue to use the old name. It is the most common cause of antibiotic associated diarrhoea. It spreads very readily in the hospital environment unless infection control measures are put in place. Clinical features of Clostridium difficile Associated Disease (CDAD) range from asymptomatic carriage through to diarrhoea, toxic megacolon and death.

Mode of Transmission
• Faecal-oral spread
• Clostridium difficile can survive for long periods of time in the environment as spores, which if not removed can then infect new patients

Incubation Period
• Unknown
• Symptoms can occur at any time after prescribing antibiotics however usually 5-10 days

Period of Communicability
• Patients should remain in isolation until 48 hours after symptoms resolve
Infection Control CDAD
Diagnosis and management of CDAD see Clinical Scenarios, CDAD
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Topics in Infection Control:
  • What is Infection Control?
  • Root Cause Analysis (RCA)
  • Example of the RCA Process - A patient gets CDAD
  • Universal Precautions and Hand Hygiene
  • Personal Protective Equipment (PPE)
  • Summary of Isolation Priority and Infection Control Precautions
  • Influenza
  • Tuberculosis (TB)
  • Multidrug Resistant Tuberculosis (MDR TB) 
  • Respiratory Spread Viral and Bacterial Infections
  • Clostridium difficile Associated Disease (CDAD)
  • How Clostridium difficile can Spread in a Ward Environment
  • Diarrhoea and Vomiting (D&V)
  • Multiple Antibiotic Resistant Gram-negative Bacteria
  • New Antibiotics for Treating Resistant Gram-negative Bacteria
  • Meticillin Resistant Staphylococcus aureus (MRSA)
  • Panton-Valentine Leukocidin (PVL) Positive Staphylococcus aureus
  • Glycopeptide Resistant Enterococcus (GRE)
  • Viral Haemorrhagic Fever (VHF)
  • Needlestick Injuries
  • Needlestick Injury HIV PEP Flowchart
  • Outbreaks

​All these topics are covered in the book...Ready to buy your copy? Click here to buy your copy of "Microbiology Nuts & Bolts" Its updated and amazingly only slightly larger considering its got 1/3 more in it! (11cmx18cmx2.5cm).

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