C diff Flashcards
1
Q
How do you define a severe C diff infection
A
WBC > 15
Creatinine 1.5 or >
Age > 60
2
Q
When should you consider giving IV Metronidazole and Vanc
A
When the patient has severe disease AND ileus preventing the oral medications from going through the bowel
3
Q
When should you consider a colectomy?
A
When there is toxic megacolon ( aka fulminant disease)
4
Q
How do you treat a first recurrence
A
Give Vancomycin taper (or pulse) or with fidamoxicin
