Clostridium difficile Flashcards

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1
Q

where do we find clostridium difficile in the hospital?

A

everywhere there are flowers

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2
Q

how does clos. difficile transmit?

A

by ingestoin of the spores and not washing our hands when going to the bathroom

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3
Q

where will clos. difficile colonize in the normal individual?

A

Gut

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4
Q

disease caused by clos. difficile is also called?

A

Antibiotic-associated GI tract disease *

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5
Q

what diseases will clos. difficile cause?

A

diarrhea

Pseodomembranous colitis *

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6
Q

what is the key factor or essential history that will lead to clos. difficile complications?

A

Antibiotic therapy key factor that alters colonic flora*

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7
Q

what patients are most prone to acquiring clos. difficile?

A

hospitalized patients and nursing homes receiving antibiotic therapy

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8
Q

what toxins does c. difficile have?

A

entero toxin A

cyto toxin B

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9
Q

what will cause the diarrhea in c. difficile?

A

entero toxin A

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10
Q

what will cause the cell death or damage in c. difficile?

A

Cyto Toxin b

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11
Q

what is the worst disease c. difficile cause?

A

pseudomembranous colitis

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12
Q

if there is damage to the cells with cyto toxin B, what will we find in the diarrhea?

A

RBC’s

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13
Q

what will be seen in pseudomembranous colitis?

A

yellowish patches on the mucosa

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14
Q

what antibiotic will induce c. difficile?

A

clindamycin

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15
Q

what other antibiotic, besides clindamycin, will lead to pseudomembranous colitis?

A

cephalosporins

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16
Q

how do you diagnose for c. difficile pseudomembranous colitis?

A

Stool exam for toxin production *

17
Q

how do you treat mild c. difficile?

A

Metronidazole or Oral vancomycin

18
Q

how do you treat Severe disease colitis from c. difficile?

A

fecal transplant