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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 ... #CDiff #CDifficile ... #IBD #Algorithm ... #Management #Treatment
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
A good approach when dealing with hypotension at the bedside includes using the following systematic four
systematic four step evaluation ... individual component: 1. ... Cardiac Performance ... Resistance #Diagnosis #Management ... Hypotension #Approach #Algorithm
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
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Algorithm for the ... Evaluation of Acute ... C difficile assay ... Acute #Diarrhea #management ... #algorithm #workup
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 ... Performance thorough ... event, follow ACC algorithm ... medical and surgical management
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Proctitis: • Affects 1/ ... Infection (CMV, c-Diff ... Ulcerative #Proctitis #IBD ... #diagnosis #management ... #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... Diff, Stool cx, ... Colitis #diagnosis #management ... #algorithm #IBD