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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 ... Background Complications ... CDI Testing Algorithm ... #Treatment #Gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
immunocompromised, IBD ... CT A/P: Assess complications ... KUB ↓↓Sens for complications ... #Cdiff #Clostridioides ... infectiousdiseases #IDSA #gastroenterology
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Diff. & CMV COVID ... Trough • If c/f Complication ... up • Surgery ≠ Treatment ... Optimize Nutrition • CNI ... #IBD #Treatment
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... rate (i.e. infections ... deficiencies) Dumping Syndrome ... (N/V bloating, abd
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Infection (CMV, ... c-Diff, GCCT (LGV ... , cancer Treatment ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 •
Histoplasma Capsulatum Infections ... for 3 days, then BID ... for at least 12 ... with ARV (see Table ... IDSA #Prevention #Treatment