NO! Not BNF, BNP. If past experience is a guide, BNF will do even better. Here is what the CDC says about C. Diff. infections:
"People getting medical care can catch serious infections called healthcare-associated infections (HAIs). While most types of HAIs are declining, one – caused by the germ C. difficile – remains at historically high levels. C. difficile causes diarrhea linked to 14,000 American deaths each year. Those most at risk are people, especially older adults, who take antibiotics and also get medical care."
This development is much more significant than many of you probably realize, because C. Diff. hits hospitals right in the pocketbook. Some people just Carry C. Diff., some get the bug while in the hospital, and others get it in the nursing or long-term care facility they are discharged to from the hospital. Now, under Medicaid, hospitals do not get fully reimbursed for readmission of the same patient within a certain number of days of discharge, if the condition giving rise to the readmission could have been treated during the first admission. Hospitals and Medicaid authorities are always fighting over this, and, in the case of C. Diff., the argument can boil down to where the patient acquired the infection. If the hospital had a quick, easy, cheap way of certifying that a patient was free of C. Diff. at discharge, that would nail their argument that the patient who was readmitted must have acquired the infection after first discharge and there was no way they could have treated it during the first admission. Thus, the hospital could assure itself of full reimbursement for the second admission. And that's just Medicaid, which will soon be covering many more patients than ever (in states that choose to expand it under the Affordable Care Act). Although I have not researched it, it would not surprise me if Medicare and private insurance had similar second-admission reimbursement policies. Dollars and cents, ladies and gentlemen, a huge motivator of provider behavior in 21st-century healthcare.
How many of you made the leap in thought to wonder how many other bacteria are being tested for by 'third parties' and if its the same third party or different ones? I have a memory from one of my correspondences a while ago with NNLX in which they said that they had shipped BNP kits to customers not knowing what the customers were testing for. I'm guessing that this third party that reported results for C Diff might be one of those customers.