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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
IDSA 2017 CDiff Guidelines - Table 1. Recommendations for the Treatment of Clostridium difficile Infection in Adults

#Management
IDSA 2017 CDiff ... Guidelines - Table ...  1. ... of Clostridium difficile ... #Clostridium #CDifficile
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 ... Clostridioides #Difficile
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... Salmonella • Colon: C. difficile ... lymphomas, others) #IBD ... 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 ... C. difficile PCR ... PTLD, GVHD or IBD ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - Differential ... Diagnosis Framework 1) ... Invasive: Clostridium difficile ... Acute #Diarrhea #Differential ... NonInfectious #Algorithm
Causes of Acute Infectious Diarrhea
Noninflammatory Diarrhea
Viral - Noroviruses, astrovirus, adenovirus, Rotavirus, sapovirus
Protozoal - Giardia lamblia, Cryptosporidium,
Bacterial 1. ... Bacterial 1. ... parahaemolyticus, Clostridium difficile ... Acute #Infectious #differential ... #diagnosis #table
Potential Treatment Agents for Treatment of the Primary Clostridium difficile infection Episode
Proven efficacy:
 • Vancomycin -
Primary Clostridium difficile ... Fidaxomicin - 200 mg PO bid ... 50 mg IV every bid ... × 10 days #CDiff ... pharmacology #idsa #table
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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Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
any mention of a difficult ... functional status - Able ... metabolic equivalent able ... event, follow ACC algorithm ... Stable patients