Diarrhea Clinical Trial
Official title:
National Infection Trainees Collaborative for Audit and Research (NITCAR) Service Evaluation: The Prevalence, Aetiology and Management of Hospital-onset Diarrhoea on Medical, Surgical and Elderly Care Wards in the NHS
This service evaulation aims to investigate how common diarrhoea is in hospital patients on medical, surgical and elderly care wards, what it is due to and how it is managed.
Latest National Health Service (NHS) England guidelines for the assessment of Clostridium
difficile infection (CDI) cases recommend that acute hospitals collect data on the prevalence
of hospital-onset diarrhoea in their organisations, and how it is managed, including if
patients are appropriately tested for CDI.
The aims of this multi-centre service evaluation are therefore to:
- Determine the prevalence of hospital-onset diarrhoea on adult medical, surgical and care
of the elderly wards in the NHS
- Investigate how hospital-onset diarrhoea is managed, including whether patients are
tested for CDI according to Department of Health (DoH) England standards
- Investigate the aetiology of hospital-onset diarrhoea on adult medical, surgical and
care of the elderly wards in the NHS, based on previously described causes
Data will be collected at participating centres on two days, one between 11-15/Jan/2016 and
one between 6-10/Jun/2016. Hospitals will be able to choose locally which two days. On those
days investigators from the local Microbiology and/or Infection Prevention teams will screen
all patients on pre-identified wards, who have been admitted for ≥72 hours, for
hospital-onset diarrhoea. For all patients that meet the definition of hospital-onset
diarrhoea their medical notes and charts will be reviewed, to ascertain potential causes and
how they have been managed.
This service evaluation should help participating hospitals to investigate hospital-onset
diarrhoea in their own institutions, as well as generating a dataset that is representative
of the problem across the NHS, and therefore of use to other centres.
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