Community-Onset Clostridium difficile

by Expert Reviewer: Barbara Barzoloski-O'Connor, MSN, RN, CIC, NHDP - BC; Expert Reviewer: Kim Strelczyk, MSN, RN, ACNS-BC, CIC; Instructor: Beth R. Wallace, MPH, CIC; Instructor: Connie C. Chettle, MS, MPH, RN
Credentialed for: Medication Aide

$20.00

i 1.00 CEH

Course Overview

Since 2000, the epidemiology of Clostridium difficile infection (CDI) has changed, with significant increases in incidence, severity, mortality rate, and treatment failures. Nonmaternal adult CDI hospitalizations increased from 7.4 per 1,000 in 2003 to 13.5 per 1,000 in 2012. The government expects that rate to continue growing about 2% per year. Infections in populations traditionally considered to be at low risk - peripartum women, children, and young healthy adults - have increased, and many infected patients lack the usual predisposing CDI risk factors, such as old age, recent hospital stays, and antibiotic exposure. This module discusses the risk factors associated with the emergence of CDI in the community, ways in which community-acquired CDIs are being transmitted, and the question of whether nursing homes and outpatient healthcare settings may be an underappreciated source of CDI cases.

About the Course Author

Barbara BarzoloskiO'Connor is the infection control manager at Howard County General Hospital, Columbia, Md. She is responsible for administering, coordinating, and monitoring all infection control functions of the hospital and serves as an educator and consultant with regards to infection control matters. Barbara also serves on other committees and is a liaison between the hospital and public health officials, and is responsible for serving as staff support to the Orthopedic and Pediatric Clinical Department Review Committees. Barbara Barzoloski-O'Connor, MSN, RN, CIC, NHDP - BC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Kim Strelczyk, MSN, RN, ACNS-BC, CIC, a healthcare consultant in the North Texas area, has worked in infection prevention and control for more than 20 years. Kim Strelczyk, MSN, RN, ACNS-BC, CIC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Beth Wallace, MPH, CIC, is the manager of infection prevention at Methodist Charlton Medical Center in Dallas, Texas. Beth R. Wallace, MPH, CIC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Connie Chettle is a retired epidemiologist and contributor to Relias continuing education courses. She has worked as a nurse expert witness on fungal infection, responsible for all infection control functions for prevention of nosocomial infections in patients, staff and visitors.  She was also responsible for employee health reviews, immunizations, triage for injured workers, workers compensation injury and case management for 2100 plus employees. 

Connie C. Chettle, MS, MPH, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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Detailed Transcripts

License Tracking/Reminders

Accreditation Information

Certificates provided by accrediting body (8 Match)

  • American Nurses Credentialing Center

    1.00HOURS

    In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


  • California Board of Registered Nursing

    1.00HOURS

    Provider approved by the California Board of Registered Nursing, CEP# 13791 Nurses will receive 1.0 contact hours for participating in this course.
  • District of Columbia Board of Nursing

    1.00HOURS

    District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
    Nurses will receive 1.0 contact hours for participating in this course.
  • Florida Board of Nursing

    1.00HOURS

    Florida Board of Nursing (CEBroker Provider #50-290).
    Nurses will receive 1.0 contact hours for participating in this course.
  • Georgia Board of Nursing

    1.00HOURS

    Georgia Board of Nursing (CEBroker Provider #50-290).
    Nurses will receive 1.0 contact hours for participating in this course.
  • Accreditation Council for Continuing Medical Education

    1.00HOURS

    In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


    Relias LLC designates this enduring activity for a maximum of 1.0 AMA PRA category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • South Carolina Board of Nursing

    1.00HOURS

    This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CEBroker Provider #50-290).
    Nurses will receive 1.0 contact hours for participating in this course.
  • West Virginia Board of Registered Nursing

    1.00HOURS

    West Virginia Board of Registered Nursing (CEBroker Provider #50-290).
    Nurses will receive 1.0 contact hours for participating in this course.


Course Details
  • Course Code:

    REL-ACU-0-CE714
  • Hours:

    1.00
  • Type:

    Online Course
  • Release Date:

    2019-05-01
  • Expiration Date:

    2020-08-31
  • Learning Objectives:

    Assess the major and minor risk factors for community-associated C. difficile infection ; Describe how C. difficile is transmitted in the community; Discuss the changing epidemiology of C. difficile
  • Target Audience:

    The target audience for this course is: Dietitians; Nurses; in the following settings: Acute Care Facility.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.
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