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Guidance

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

Published on 27 September 2024

From: Antimicrobial Resistance and Healthcare Associated Infection Scotland

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

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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. 

The Scottish Microbiology and Virology Network best practice for C. difficile testing 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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