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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
in IBD - IBD Algorithm ... Clostridioides #difficile ... #CDiff #CDifficile ... #IBD #Algorithm ... #Management #Treatment
IDSA 2017 CDiff Guidelines - Table 1. Recommendations for the Treatment of Clostridium difficile Infection in Adults

#Management
IDSA 2017 CDiff ... Guidelines - Table ...  1. ... Recommendations for the Treatment ... Infection in Adults #Management
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 ... ciab549 #CDI #Cdiff
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 in Transplant ... C. difficile PCR ... Ova and Parasite evaluation ... PTLD, GVHD or IBD
Potential Treatment Agents for Treatment of the Primary Clostridium difficile infection Episode
Proven efficacy:
 • Vancomycin -
Potential Treatment ... Primary Clostridium difficile ... × 10 days #CDiff ... #management #pharmacology ... #idsa #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... any mention of a difficult ... event, follow ACC algorithm ... medical and surgical management ... perioperative #Risk #Evaluation
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Infection (CMV, c-Diff ... prolapse, CD, cancer Treatment ... Ulcerative #Proctitis #IBD ... #diagnosis #management ... #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
typically fall into 1 ... are excellent at evaluating ... #differential #algorithm ... #management #cardiology ... #treatment #table