Clostridium difficile associated diarrhea
Date of last revision/review: May 2008
Only confirmed cases of disease should be notified.
Type of surveillance
Routine case-by-case notification to the federal level
Clinical illness (see the Clinical evidence section) and laboratory confirmation of infection:
- a positive toxin assay for C. difficile
Diagnosis of pseudomembranes on sigmoidoscopy or colonoscopy, or histological/pathological diagnosis of C. difficile infection
Clinical illness consists of diarrhea or fever, abdominal pain and/or ileus.
Diarrhea is defined as one of the following:
- six watery stools in past 36 hours
- three unformed stools in 24 hours for at least 1 day
- eight unformed stools over 48 hours
008.45 Colitis due to C. difficile
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