ADVANCEMENT OF THE PRACTITIONER
JEH QUIZ
Role of the Household Environment in Transmission of Clostridioides difficile Infection: A Scoping Review FEATURED ARTICLE QUIZ #4
A vailable to those with an active National Environmental Health Association (NEHA) membership, the JEH Quiz is offered six times per calendar year and is an easily accessible way to earn continuing education (CE) contact hours toward maintaining a NEHA credential. Each quiz is worth 1.0 CE. Completing quizzes is now based on the honor system and should be self-reported by the credential holder. Quizzes published only during your current credential cycle are eligible for CE credit. Please keep a copy of each completed quiz for your records. CE credit will post to your account within three business days. Paper or electronic quiz submissions will no longer be collected by NEHA staff. INSTRUCTIONS TO SELF-REPORT A JEH QUIZ FOR CE CREDIT 1.Read the featured article and select the correct answer to each JEH Quiz question. 2. Log in to your MyNEHA account at https://neha.users.membersuite.com/ home. 3. Click on Credentials located at the top of the page. 4. Select Report CEs from the drop-down menu. 5. Enter the date you finished the quiz in the Date Attended field. 6. Enter 1.0 in the Length of Course in Hours field. 7. In the Description field, enter the activity as “ JEH Quiz #, Month Year” (e.g., JEH Quiz 4, January/February 2023). 8. Click the Create button.
Quiz effective date: January 1, 2023 | Quiz deadline: April 1, 2023
7. No experimental studies were identified during the scoping review process. a. True. b. False. 8. __ were the primary source of the studies identified during the scoping review process. a. Editorials b. Fact sheets c. Government reports d. Journals 9. From the scoping review process, __ was the study location for more than one half of the identified studies. a. U.S. b. Canada c. UK d. Slovenia 10. Of the studies identified during the scoping review process, __ focused on all three populations (i.e., the environment, humans, and animals). a. 5%
1. Historically, Clostridioides difficile
infection (CDI) has been regarded as a __ infection. a. community-associated b. food-associated c. healthcare-associated d. school-associated
2. C. difficile spores survive in the environment for several a. hours. b. days. c. weeks. d. months.
3. People with CDI can excrete C. difficile spores for many __ posttreatment. a. days b. weeks c. months d. years
4. In a survey of infection control professionals from Canadian hospitals,
__ indicated that the household environment was important in the transmission of C. difficile .
b. 11% c. 16% d. 26%
a. 16% b. 30% c. 45% d. 67%
11. The studies that were most common in the current body of literature were __ studies of C. difficile in humans, animals, or the environment. a. case-control b. cross-sectional c. prevalence d. randomized controlled 12. Only __ studies identified by the scoping review used a holistic or One Health approach to examine all potential C. difficile reservoirs in the household. a. two b. three
5. One of the barriers to providing advice for an effective household hygiene protocol is a lack of knowledge about the role of the environment in the transmission of CDI in the household. a. True. b. False. 6. The Level 1 screening conducted for this study used the following questions: a. Does the article discuss C. difficile ? b. Is the full text available in English? c. Is the article about contamination, exposure, or transmission in the household environment. d. all of the above. e. a and c.
JEH Quiz #2 Answers October 2022
1. c 2. a 3. b
4. a 5. c 6. d
7. c 8. a 9. a
10. b 11. b 12. a
c. four d. five
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January/February 2023 • Journal of Environmental Health
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