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C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection ... Complications CDI Testing ... Algorithm CDI ... Clostridioides #difficile ... #CDiff #CDifficile
IDSA 2017 CDiff Guidelines - Table 7. Potential Treatment Agents for Treatment of the Primary Clostridium difficile
IDSA 2017 CDiff ... Guidelines - Table ... Primary Clostridium difficile ... infection Episode ... Pharmacology #Management #CDiff
IDSA 2017 CDiff Guidelines - Table 1. Recommendations for the Treatment of Clostridium difficile Infection in Adults

#Management
IDSA 2017 CDiff ... Guidelines - Table ... of Clostridium difficile ... Infection in Adults ... #Clostridium #CDifficile
IDSA 2017 CDiff Guidelines - Table 2. Recommendations for the Treatment of Clostridium difficile Infection in Children

#Management
IDSA 2017 CDiff ... Guidelines - Table ... of Clostridium difficile ... Infection in Children ... #Clostridium #CDifficile
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... C. difficile PCR ... #Diarrhea #Workup ... Transplant #diagnosis #differential
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Algorithm for the ... C difficile assay ... Ova and parasite testing ... HIV infection or ... #workup #diagnosis
Potential Treatment Agents for Treatment of the Primary Clostridium difficile infection Episode
Proven efficacy:
 • Vancomycin -
Primary Clostridium difficile ... infection Episode ... × 10 days #CDiff ... #pharmacology #idsa ... #table
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Beta-Agonists, ↑ work ... Localized soft-tissue infection ... Difficult to diagnosis ... separate D-lactate testing
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
any mention of a difficult ... Skin exam for infection ... event, follow ACC algorithm ... surgery Stress Testing ... preoperative stress testing