ICU SAQs · ICU-acquired infection
Clostridioides difficile in the ICU
A CICM Second-Part SAQ on C. difficile — the risk factors (antibiotics, PPI), the diagnosis (toxin assay), the treatment (stop the offending antibiotic, oral vancomycin or fidaxomicin preferred), and the severe case (megacolon, surgery).
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Prompt
A ventilated patient on day 7 of broad-spectrum antibiotics develops profuse diarrhoea. Outline the assessment and the management.
Question
A ventilated patient on day 7 of broad-spectrum antibiotics develops profuse diarrhoea. Outline the assessment and the management.[1]
References2ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [2]Marino PL The ICU Book. 4th edition, Lippincott Williams & Wilkins, 2014.