Clostridioides difficile and rotavirus outbreak in an acute care unit in Alberta, Canada
Bibliographic record
Abstract
Background: Rotavirus is a commonly recognized cause of gastrointestinal illness in infants and young children. It is an under-appreciated cause of gastroenteritis in adult patients. Clostridioides (formerly Clostridium) difficile is the most important infectious cause of antibiotic-associated diarrhea worldwide. A mixed infection outbreak involving rotavirus and Clostridioides difficile has not been fully characterized. Methods: This report highlights a mixed outbreak of Clostridioides difficile infection (CDI) and rotavirus among adult patients in a community hospital in Alberta, Canada, and describes the interventions implemented. Results: On March 20, a CDI outbreak was declared following five cases of hospital-acquired CDI, and on March 25, one patient was identified with a co-infection. A mixed pathogen outbreak was then declared after three new cases of rotavirus were detected on the same unit. Infection prevention and control (IPAC) measures were implemented in accordance with local IPAC guidelines. In addition, hand hygiene, environmental cleaning, and fluorescent marker audits were conducted. A hand hygiene audit of 21 opportunities revealed 66.7% compliance. Fluorescent marker audits showed improper cleaning of patient environments and shared equipment. The ward received targeted education and enhanced cleaning based on audit findings. The rotavirus and CDI outbreaks were declared over on April 2 and April 10, respectively. Conclusion: Considering that rotavirus is an under-recognized cause of gastrointestinal disease in adults, awareness of this pathogen as a potential cause of an outbreak is important to prompt early testing and ensure appropriate infection control interventions to prevent its spread.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.006 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".