Hospitals lack a clear protocol for managing C. diff colonization (PCR positive, toxin negative), leading to unnecessary isolation and confusion over testing.
Current hospital protocols are inconsistent: nursing auto-places isolation for loose stools, but doctors decide on testing, resulting in prolonged isolation for non-infectious causes and no standardized approach for colonization management.
Workarounds Described
- nursing automatically puts in precautions and collects a stool sample after multiple loose stools
- doctors decide if we test, but patient stays in isolation if doc doesn't want to test
Implied Software Gaps
- Standardized, evidence-based protocol engine for C. diff colonization and infection management
ColonizationCare Protocol
A software tool that provides evidence-based decision support for managing C. diff colonization. It integrates with EHR systems to standardize testing protocols, automate isolation recommendations based on test results and clinical context, and track colonization status over time. Reduces unnecessary isolation and streamlines clinician workflows.
- EHR integration to auto-flag PCR positive, toxin negative results as colonization
- Decision support algorithm for testing and isolation based on loose stool etiology
- Dashboard for tracking colonization status and isolation days across units
- Automated alerts for nursing when isolation can be discontinued per protocol
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