Wednesday, January 18, 2006

Clostridium difficile

The BMJ reported a report from the Healthcare Commission and the HPA (can you report a report...? Anyway...) that found that one third of hospital trusts in London were not following government guidance on the management of C. difficile.

Guidance includes restrictions on the use of broad spectrum antibiotics and the isolation of cases into a ward set aside for that purpose. There is concern that the bacterium is mutating. Statistics suggest that C. difficile kills more people per year in the UK that MRSA, although it infects more people. The BMJ report is at http://bmj.bmjjournals.com/cgi/content/full/332/7532/10-e?etoc

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