Professionals working in long-care facilities come in contact with a high percentage of people taking antibiotics. At first blush, healthcare workers often do not necessarily perceive elderly patients as a potential health risk simply because they take needed medications. But continued antibiotic usage can result in the presentation of Clostridium difficile, a health hazard that tends to be a byproduct of extended antibiotic cycles.

Healthcare professionals and those tasked with maintaining cleanliness in senior facilities do not need to have direct contact with patients to contract the ailment. That’s why department of health standards require staff members to wear disposable personal protective clothing such as lab coat. If you work in an environment where our valued elders are prescribed long-term antibiotics, these are things you may want to consider.

What Elder Care Professionals Need to Know About Clostridium difficile

Commonly called “C diff,” seniors in assisted living facilities are prone to contracting this ailment during protracted antibiotic use. It can be a byproduct of medications designed to target specific conditions elders struggle to stave off. Although C diff is usually not life-threatening when detected early in relatively healthy people, the symptoms can at least create tremendous discomfort. These include the following.

  • Intense Diarrhea
  • High Fever
  • Appetite Loss
  • Nausea 
  • Stomach and Intestinal Discomfort

It may seem almost counterintuitive, but C diff is treatable through antibiotics. In severe cases, 1- to 2-percent of C diff patients require surgery, and portions of infected intestines are removed. C diff presents a heightened health risk, and many caregivers are unaware that it even exists. It’s imperative that healthcare professionals and those tasked with senior living facility cleanup understand the dangers of C diff, how it is transmitted, and adorn disposable protective clothing to minimize contracting or spreading it.

How C diff Spreads in Senior Living Facilities

The infection has a high rate of transmission from person-to-person contact. Caregivers administering medication, conducting sponge bathing, or simply offering the comfort of holding a patient's hand can result in a C diff infection unless certified disposable protecting clothing is worn. But perhaps the single most challenging aspect of working in an environment prone to C diff is that the spores can live outside the body. Drifting spores can attach themselves to items that caregivers and cleaning crews routinely come into contact with, including the following.

  • Bed Sheets
  • Pillowcases
  • Rails
  • Countertops
  • Bathroom Fixtures
  • Medical Equipment

C diff spores also have significant longevity away from a human host. Inadvertently picking up a C diff spore can cause direct illness. They can also be passed along to coworkers through direct or indirect contact. Spores may even find their way to a caregiver’s family if protective clothing is worn home after a shift. What’s crucial for senior caregivers and cleanliness workers to keep in mind is that C diff is very real and has the potential to spread quickly.

How To Stop C diff From Spreading

Hospitals and elder living facilities must adhere to the strictest protocols in order to minimize the risk that infections such as C diff spread from patient-to-patient or cause an outbreak among staff members. The Center for Disease Control and Prevention (CDC), advocates that people working in healthcare facilities adhere to the following guidelines in order to prevent the spread of C diff.

  • Clean hands with soap and water or an alcohol-based hand rub before and after caring for every patient.
  • Thoroughly clean hospital rooms and the medical equipment of patients diagnosed with C diff.
  • Implement precautions such as assigning C diff patients to single rooms.
  • Caregivers must wear disposable protective gloves
  • Caregivers must wear a disposable protective gown over clothing
  • Visitors should be asked to also adorn personal protective gowns and gloves when visiting patients with C diff.

The CDC also strongly advocates that people who enter C diff patient rooms promptly and safely dispose of the personal protective clothing to prevent spores from spreading. The health agency also calls for people to sanitize and clean their hands and any exposed skin immediately.

Disposable Personal Protective Clothing Standards

Although physicians do their best to minimize the use of long-term antibiotic treatments, our valued elders often face significant health challenges. It’s up to caregivers to have high-level knowledge about associated risks and maintain the most sanitary environment possible. Lives depend on it.

  • Disposable protective clothing remains a front line of defense against C diff spreads. These are things you should know about maximizing the use of disposable protective clothing.  
  • Disposable protecting clothing reduces the risk of C diff spread between providers, residents, staff members, and can eliminate the risk of facility-wide colonization.
  • Elderly residents are considered most contagious when C diff symptoms such as diarrhea are present before treatment as begun. Skin-to-skin and skin-to-clothing contact is likely to spread C diff infections at this stage.

All team members working in an elder living facility are advised to wear disposable personal protective clothing when providing caregiver or cleaning services. It’s essential these clothing options deliver high-level protection and are easily discarded following a visit to a C diff patient’s space. International EnviroGuard products continue to be a leader in eldercare health and safety. These are necessary procedures that staff members follow to reduce the risk of infection.

  • Wash or gel sanitize hands
  • Put on disposable clothing including a lab coat or gown, eye covers, and mask
  • Lastly, adorn disposable protective gloves.

When exiting the room of a C diff patient, remove and dispose of the protective equipment in this order.

  • Gloves
  • Eye coverings
  • Lab coat or Gown
  • Mask

Complete your exit strategy by thoroughly washing and sanitizing hands before coming into contact with other patients, loved ones, or team members.

It’s imperative that eldercare facilities and hospital settings provide staff members at every level with the necessary personal protective equipment to maintain the highest health and safety standards. While C diff ranks among the more common health risks in senior care facilities, providers and cleanup staff members must remain vigilant about unknown dangers as well. The best way to avoid contracting an infectious disease is to consistently utilize protective clothing, effectively dispose of it, and practice thorough sanitization procedures.