Background: On May 2024, CDC implemented an approach to decrease the Transmission of Multi drug resistant organism. They created Enhanced Barrier precaution (EBP). The EBP includes all nursing home residents with Indwelling Medical Device and Chronic wounds are at risk for Multi drug resistant organism; Therefore, Healthcare provider will need to use gowns and gloves when doing high contact procedures or activities (e.q., bathing, dressing, cleaning wounds and indwelling medical devices). Clostridium Difficile is not part of the EBP criteria not unless it is a Multi drug resistant organism. We aimed to determine if EBP will decrease the recurrence of Clostridium Difficile in patients with a history of the disease.

Methods: All residents that had a past history of Clostridium Difficile will be enrolled in the Enhanced Barrier precautions from May 01, 2024, to October 31, 2024. The patient will be monitored for the duration of the study and EBP audit will be done regularly. Using electronic chart review, we recorded recurrence based on laboratory examinations done in the facility or done in the hospital for a particular patient.

Results: A total of 11 patients were included in the study; of those, only 1 had recurrence (9%).

Conclusion: The study shows that Enhanced barrier precaution can be used to a patient with a high risk of getting Clostridium Difficile in nursing homes. We identified key gaps in the study including the need for greater population and better monitoring of staff for the EBP audits.

Benjamin Pagarigan III has completed his Doctor of Medicine at the age of 24 years from Far Eastern University Dr. Nicanor Reyes Medical Foundation and General Surgery Residency from Southern Philippines Medical Center. He also did his Masteral in Healthcare Administration and became a fellow of the Philippine Colleges of Hospital Administrators. He went to the United States of America to pursue further studies in Infection Control and prevention and became an Associate Fellow in the American

College of Surgeons. Both Certified in Infection Control and Long-term care Infection control and prevention by the Certification board in Infection Control. A member of the Association of Professionals in infection Control. He is the director of Optalis Healthcare for Infection Control and the senior vice president for clinical service of APEX Innovation and consulting, a premier short term and long-term care service organization.