The Internet Book of Critical Care Podcast IBCC Episode 43 Clostridium Difficile
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Jul 5, 2019 In this episode, the hosts discuss various aspects of Clostridium difficile (C-diff) infection, including prevention, lab tests, risk factors, and potential therapies. They emphasize the importance of hand hygiene, precautions, and isolating patients with C-diff. They also explore the use of tigecycline, bezlotoxin map, and microbiota transplantation as potential treatments in the ICU.
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Limit Antibiotics to Prevent C. Diff
- Limit antibiotic use to reduce C. Diff risk, avoiding prophylactic antibiotics unless clearly beneficial.
- Avoid unnecessary antibiotics especially in patients with artificial joints or minor procedures.
C. Diff Infection Control Essentials
- Use contact precautions and hand washing, not just alcohol sanitizer, to kill C. Diff spores.
- Wear hospital-laundered scrubs and avoid clothing worn repeatedly in patient rooms.
Recognize Varied C. Diff Presentations
- C. Diff presents with a range from mild diarrhea to toxic shock and perforation.
- It can also present without diarrhea as an acute abdomen or septic patient; keep a low threshold for testing.