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Etiology of Community Acquired Clostridium
Difficile-Associated Disease

By: Shannan Sherman and Dr. Pamela Ark | Mentor: Dr. Pamela Ark

Recommendations for Nursing


 Public health nurses draw from the core competencies for nursing in designing and implementing community-based interventions. The core competencies should be used to guide baccalaureate nursing curricula. To strengthen nursing curricula, one key core competency is awareness of the assessment: the skill needed to evaluate the integrity and comparability of data and identify gaps in data sources. Another core competency of importance is policy development awareness of the baccalaureate nurse to translate policy into organizational plans, structures, and programs. It is important to evaluate data from research studies to determine their integrity because not all studies should be used to change policy and procedures. Policy development is vital to improve patient outcomes and help eliminate communicable diseases (Association of Community Health Nursing Educators, 2003).


 The CDC recommends that clinicians teach their patients to limit transmission and inquire about similar cases in household members and close contacts. It is important that patients be taught proper hygiene and cleaning protocols to reduce transmission. To reduce transmission of CA-CDAD, CDAD should be considered in the differential diagnosis of diarrhea. Clinicians should collect specimens for culture based on patient history and current clinical presentation for patients with diarrhea. Lastly, clinicians should routinely ask about similar cases in household members and close contacts.


Future research should include a standard definition of CA-CDAD. More research is needed to look at high risk populations, such as pregnant women, infants, and children. Further research should focus on different types of study.

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