Solid Organ Transplant - Diarrhea - Diagnostic and Workup Algorithm
1st Tier Microbiologic Testing: CDiff (stool), CMV qPCR/NAT (serum/blood), Bacterial Culture or PCR (stool) for bacterial pathogens
2nd Tier Microbiologic Testing: Norovirus or viral PCR (stool), Ova and Parasites (stool), Giardia and Cryptosporidium EIA (stool), Breath test of bacterial overgrowth
If above negative:
1) Adjust IS medications
2) Colonoscopy +/- EGD
3) Empiric Therapy with probiotic or anti-motility agents
4) Evaluate for malabsorption
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