C. difficile LabID Event: Onset Category, Incident or Recurrent, and Rate (NHSN)

C. difficile LabID event category under the CDC NHSN protocol.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Specimen collection date
2026-03-20
Where the specimen was collected
Inpatient location
Admission date
2026-03-17
Earlier inpatient discharge from this facility
No inpatient discharge from this facility before the specimen
Previous C
A previous positive, same patient and same location
Collection date of the most recent previous positive
2026-03-06

Result: Healthcare facility-onset (HO): collected in an inpatient location on hospital day 4, which is day 4 or later. Recurrent (day 15, more than 14 and 56 or fewer days after the most recent event).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Specimen collection date (YYYY-MM-DD)
  • Where the specimen was collected
  • Admission date (YYYY-MM-DD; inpatient specimens)
  • Earlier inpatient discharge from this facility
  • Date of that discharge (YYYY-MM-DD)
  • Previous C.
  • Collection date of the most recent previous positive (YYYY-MM-DD)
  • Rate panel: number of events (optional)
  • Rate panel: patient days (optional)
Full field descriptions
  • Previous C. difficile positive
How this is calculated

Citation

CDC National Healthcare Safety Network. Multidrug-Resistant Organism and Clostridioides difficile Infection (MDRO/CDI) Module protocol, January 2026: duplicate test, onset categories (CO, CO-HCFA, HO), incident and recurrent definitions, and the rate per 10,000 patient days. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.