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Protocol for the Scottish Surveillance Programme for Clostridioides difficile infection: user manual

Published on 21 January 2017

From: Antimicrobial Resistance and Healthcare Associated Infection Scotland

Describes the methodologies for the national mandatory surveillance for Clostridioides difficile Infection (CDI).



Mandatory surveillance for Clostridioides difficile Infection (CDI) currently includes all patients aged 15 and above in all healthcare settings who present with diarrhoea not attributable to any other cause.

In 2016, we published a revised version of the ‘Recommended Protocol for Testing for Clostridioides difficile and Subsequent Culture’. The revised testing guidance recommends testing stools in patients aged 3 or above.

However, the mandatory surveillance of CDI remains limited to those patients aged 15 or above. Therefore, other than for submissions to the C. difficile Reference Laboratory for ribotyping, this surveillance protocol only applies to those aged 15 or above.

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