C. diff survivor and advocate shares her story

Posted on by CDC's Safe Healthcare Blog
Nancy C Caralla
Nancy C Caralla

Guest Author: Nancy C Caralla
Founding Executive Director,
President of the C Diff Foundation.

My name is Nancy Caralla, and I know all too much about Clostridium difficile (C. diff).  I am a nurse and contracted C. diff while caring for patients suffering from this horrible infection. Now, I am a C. diff survivor. Tragically, our family lost my father from C. diff, too. I know how fighting a C. diff infection can be exhausting on so many levels. It is a physically, mentally, and financially debilitating infection. It has the ability to steal away a loved one, tear away dreams, create added stress on families, diminish financial nest eggs, eliminate employment opportunities, build geographic mobility limitations, and create tears in even the strongest individuals. All aspects of one’s being are involved in fighting a C. diff infection. This is why I have dedicated myself to “Raising C. diff Awareness” worldwide.

The C diff Foundation was brought to fruition in 2012 with a mission to provide education and advocate for C. diff infection prevention, treatment, and environmental safety worldwide. It provides Antibiotic News, Nutrition Support, Government and private Scientific Research and Development Studies, and a CDF Volunteer program. The C diff Foundation hosts a 24-hour hotline to support patients, families, and health care providers through the difficulties of a C. diff infection (1-844-FOR-CDIF).

Our hotline now gets 20-30 calls a day from individuals impacted by this germ. These are some of the most common questions we get asked:

How do antibiotics cause C. diff?

The antibiotics cause a disruption in the normal intestinal flora which leads to an over growth of Clostridium difficile bacteria in the colon. In November 2012, CDC shared a public announcement regarding antibiotic use: colds and many ear and sinus infections are caused by viruses, not bacteria. Taking antibiotics to treat a “virus” can make those drugs less-effective when you and your family really need them. Limiting the usage of antibiotics will also help limit new cases of C. diff infections. Always discuss the symptoms and medications with the treating physician. Get smart about antibiotics by looking at CDC’s materials online.

What can we do to stop C. diff?

We can all fight acquiring a C. diff infection beginning with prevention, and C. diff is a preventable infection.

Hand-washing (aka hand-hygiene) practiced and repeated frequently with correct technique aids removes harmful germs, provides patient safety, and adheres to infection control policies.

Environmental safety: Utilizing EPA registered products with “C. diff kill” claim will aid in eradicating Clostridium difficile Gram-positive, anaerobic spores, found to be capable of surviving outside of the body for long periods of time.

As a healthcare professional, how do I protect myself from C. diff?

Personal Protective Equipment (PPE): During the care of a patient diagnosed with a C. diff infection, following infection-control policies, healthcare and environmental service professionals are to wear PPE to minimize exposure to serious workplace illnesses (acute care, long-term care, and home care environments). PPE may include items such as gloves, shoe coverings, and gowns.

Communication:  Contacting and alerting other healthcare facilities, prior to transferring a patient, to report an active C. diff infection to implement and follow contact precautions and isolation policies.

C. diff Foundation
C. diff Foundation

We can all fight acquiring a C. diff infection. C. diff is preventable, and together we can stop its spread.

For more information please visit the Foundation’s website: www.cdifffoundation.org.


Nancy C. Caralla, Founder & Executive Director of the C Diff Foundation
Nancy C. Caralla is a three time C. difficile infection survivor who has 23 years’ experience in the nursing profession blended with over 25 years experience in international construction management. Over the past two years, Nancy in partnership with Foundation members, has focused on raising C. difficile awareness through education, and advocating for C. difficile infection prevention, treatments, and environmental safety worldwide. The C Diff Foundation is a non-profit organization and takes great pride in their volunteers, chairpersons, and committees. Their mission reaches across the nation and is presently in twenty ststes and growing. We are all working together to achieve a mutual goal: a reduction in newly diagnosed C. difficile infections worldwide.

Posted on by CDC's Safe Healthcare Blog

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Page last reviewed: September 26, 2023
Page last updated: September 26, 2023