Safety and Infection Prevention and Control
C. diff room entry: what matters most?
Question
A nurse is about to enter the room of a client with confirmed Clostridioides difficile (C. diff) diarrhea. Which statement matches CDC's hand hygiene guidance for this situation?
Show the answer and rationale
Correct answer: A
A. Correct. CDC says the priority on entering a C. diff room is glove use, in addition to a gown, with careful glove removal to avoid self-contamination. It notes that spores may not be fully removed from hands by any cleaning method, so gloves are the main barrier.
B. Incorrect. CDC still prefers alcohol-based hand sanitizer in most clinical situations, C. diff care included, unless hands are visibly soiled. It lists soap and water for the care of C. diff patients during outbreaks, and facility policy may ask for soap and water too, but "never" goes further than CDC does.
C. Incorrect. C. diff passes from contaminated surfaces and items to patients on the hands of staff, CDC says. It is not an airborne infection.
D. Incorrect. Disinfectant wipes are for surfaces and equipment, not skin. Hand hygiene uses hand sanitizer or soap and water.
Source: CDC: Clinical Safety: Hand Hygiene for Healthcare Workers
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