18 results
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
Prevention, Diagnosis, and Treatment of Clostridioides difficile Infections

Epidemiology
Diagnosis
Prevention
Treatment Algorithm
Suppression and Prophylaxis

By Tina Hang, MD @TinaPhamHang via
Clostridioides difficile ... Infections Epidemiology ... Clostridioides #difficile ... #clostridium #cdiff ... #Infections #diagnosis
Summary of Available Tests for Clostridium difficile Infection, in Decreasing Order of Sensitivity
 • Toxigenic culture
for Clostridium difficile ... Detects Clostridium difficile ... moderate, Detects C. difficile ... Low, Detects C. difficile ... #Clostridium #difficile
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Failure - Differential ... (C diff) • Hospital-Acquired ... Difficile, COVID ... Antibiotic #Failure #Differential
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - Differential ... recommended Infectious ... Invasive: Clostridium difficile ... Acute #Diarrhea #Differential ... NonInfectious #Algorithm
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Acute Diarrhea - Differential ... Diagnostic Algorithm ... E. coli, C difficile ... histolytjca) Nausea ... #Diagnosis #Algorithm
Causes of Acute Infectious Diarrhea
Noninflammatory Diarrhea
Viral - Noroviruses, astrovirus, adenovirus, Rotavirus, sapovirus
Protozoal - Giardia lamblia, Cryptosporidium,
Causes of Acute ... Infectious Diarrhea ... parahaemolyticus, Clostridium difficile ... #Acute #Infectious ... #differential #
Transplant Infections Timeline
Pre-transplant:
 • Common bacteria (endogenous): Staphylococci (skin), Gram-negative bacilli (gut)
 • Viruses: HSV (reactivation)
Engraftment:
Transplant Infections ... Clostridioides difficile ... #Transplant #Infections ... #Timeline #differential ... #diagnosis #causes
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... Always RULE OUT infection ... (CMV, C. diff esp ... Salmonella • Colon: C. difficile ... mimics #mimickers #differential
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 ... C. difficile PCR ... Workup #Management #Algorithm ... Transplant #diagnosis #differential