C-Diff Cases Worth Pursuing

 

1- Inappropriate antibiotic use can cause this condition which can be fatal.
2- Use of anti-peristaltic Rx such as Imodium or Lomotil is contraindicated in C. diff and can lead to toxic megacolon and death or need for total colectomy.
3- Failure to treat long enough or to discontinue offending antibiotic therapy are also problematic.
4- Failure to timely order the C. diff test or to initiate empiric therapy in a timely manner can lead to poor outcomes.
5- Patients with rapid transit times or an ileus may not be able to absorb enteral therapy and may require enemas with flagyl or vancomycin or intravenous forms of flagyl therapy.
Dr. AC