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Clostridioides difficile infections (CDI) are a leading cause of diarrhea and pseudomembranous colitis in acute and chronic care settings. Due to the growing incidence and advancing hypervirulent strains of Clostridioides difficile infections (CDIs), the Belgian Infection Control Society (BICS), in collaboration with Sciensano, is organizing a national surveillance in hospitals to determine the incidence of CDIs in our country. Registration began on July 1, 2006.

The Royal Decree of 19/06/2007 concerning hospital hygiene surveillance mentions the obligation for acute hospitals to collect quality indicators relating to the hospital hygiene policy in the establishment. The purpose of a quality indicator system is to trigger actions to improve the quality of care: "what we cannot measure, we cannot improve". The development and validation of quality indicators in hospital hygiene was carried out by a working group involving the Institute of Public Health, BAPCOC and representatives of hospital hygiene platforms.