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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 ... in IBD - IBD Algorithm ... Clostridioides #difficile ... #CDiff #CDifficile ... #IBD #Algorithm
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... Epidemiology: • #1 ... immunocompromised, IBD ... 10 mg/kg IV x 1 ... #Difficile #Clostridium
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management ... Algorithm What ... bowel movements, difficult ... defecation suggests IBS-C ... #Management #Algorithm
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Diagnosis Framework 1) ... Invasive: Clostridium difficile ... Lactose intolerance, Constipation ... NonInfectious #Algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Microbiologic-Testing: 1. ... C. difficile PCR ... PTLD, GVHD or IBD ... Workup #Management #Algorithm
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Proximal constipation ... Infection (CMV, c-Diff ... rectal prolapse, CD ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Tracheal Airway POCUS prior to anticipated difficult airway
1. ID cricothyroid membrane evaluation
2. Confirm tracheal intubation
3. Detect
Tracheal Airway POCUS ... to anticipated difficult ... airway 1. ... ID cricothyroid ... Tracheal #Airway #POCUS
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