Our inpatient C Diff rates have been creeping up. We are currently trying to use a new algorithm to go about testing via rectal swap for colonization purposes vs stool culture. Anyone having this issue? We empirically treated a patient with Vanc OS for 10 days because we inadvertently tested a stool culture because he was having >3 loose stools and he was positive. However, we are not resulting him out but we are treating him.
Another patient with CDI history was being treated with a prophylactic dose once daily and was told if patient develops diarrhea, to not test him. Something in these scenarios, is not right. Thoughts!