9 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection ... in IBD - IBD Algorithm ... #CDiff #CDifficile ... #IBD #Algorithm ... #Management #Treatment
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Assessment (bloody diarrhea ... UC > non-bloody diarrhea ... Rule-Out Infection, Cdiff ... Refractory #Treatment #Management ... #Algorithm
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... ABx) → Acute Diarrhea ... Pseudomembranous colitis ... → Fulminant Colitis ... immunocompromised, IBD
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... - Management Algorithm ... Diff. & CMV COVID ... #UC #Management ... #Algorithm #IBD
Diarrhea with Normal Colonoscopy
 • Colonic: Bile acid malabsorption, Microscopic colitis, Overflow diarrhoea, Missed pathology
 •
Diarrhea with Normal ... malabsorption, Microscopic ... colitis, Overflow ... Campylobacter, C. diff ... 19) • Others: IBS-D
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... C. difficile PCR ... PTLD, GVHD or IBD ... #Workup #Management ... #Algorithm #Transplant
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... - Management Algorithm ... formulations • Difficult ... #UC #Management ... #treatment #IBD
Causes of Chronic Diarrhea
Osmotic Diarrhea
 1. Medications: antacids, lactulose, sorbitol
 2. Disaccharidase deficiency: lactose intolerance
 3.
Osmotic Diarrhea ... Ulcerative colitis ... Microscopic colitis ... Bacterial: Clostridium difficile ... avium complex Protozoal
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Diff, Stool cx, ... CheckpointInhibitor #Colitis ... #diagnosis #management ... #algorithm #IBD