Table 3. Summary of Recommendations to Prevent CDI (cont'd)
Unresolved Issues
1. Identification of asymptomatic carriers of toxigenic C. difficile using rectal or perirectal
swabs and NAAT testing and placing those who are positive on contact precautions.
2. Implementation of touchless disinfection technologies.
3. Use of probiotics as primary prophylaxis.
4. CDI antibiotic prophylaxis for certain very high-risk patients who are receiving
systemic antibiotics.
5. Use of gowns and gloves by family members and other visitors.
6. Use of admission-based alert systems that notify infection preventionists and clinical
personnel about readmitted or transferred patients with a history of CDI.
7. Ongoing assessment of CDI knowledge and intensified CDI education among HCP.
8. Restriction of gastric acid suppressants.
