Prevention
Cleaning and Disinfection Strategy
➤ In endemic settings, standard daily cleaning is appropriate.
➤ Bleach or another product with an Environmental Protection
Agency–approved claim for C. difficile sporicidal activity should be
considered for disinfecting the environment during CDI outbreaks
or in hyperendemic settings.
➤ For patients whose CDI has resolved but whose continued
hospitalization is required, consider moving the patient to a new
room once diarrhea has resolved.
➤ Incubators may be thought of similarly to the patient's room:
• In endemic settings, standard cleaning and processing of an incubator should
occur before it is used for the next patient.
• Consider moving the patient to a clean incubator when diarrhea has
resolved.
• Develop a strong communication plan with environmental services to
identify rooms requiring cleaning with a sporicidal disinfectant.
