Doctor insights on:
Can Cdiff Be Cured
Flagyl or Vancomycin: Clostridium difficile colitis is treated with a 10-14 day course of oral Flagyl or vancomycin. Unfortunately relapses occur in 25-30% of treated patients requiring re-treatment. Multiple recurrences are treated witha 6 week vancomycin pulse/taper some add a probiotic s. Boulardii (flora stor), some give a Rifaximin chaser. When these fail, fecal transplant cures 91% of these recalcitrant pts. ...Read more
Maybe, but...: Perhaps, but I don't think i'd want to take the risk, since c. Difficile infection can cause very serious problems, even death. ...Read more
Yes. A few options..: Most cases of c. Dif colitis can be treated by oral/iv metronidazole, oral vanocomycin, and maybe add of Cholestyramine resins. Newer agent Dificid (fidaxomicin) is effective, but $$$. Bacitracin has some use, but not standard of care. For persistent/recurrent cases after treatments with above, a stool-transplant (yes, stool transplant--u read it right) can be done. Consult your doc. Good luck. ...Read more
Had clostridium difficile, toxin a and b. Was cured and test show all are negative. Diarrea continues what can I do?
Retest: If you had confirmed c diff and diarrhea has returned following treatment then you likely have recurrence. The stool studies are not 100% accurate. ...Read more
Infection: Also known as closteridium diff colitis, this is an infection that was once uncommon and seen only in very sick hospitalized patients. It is ironically caused by over use of antibiotics. Antibiotics kill the "good bacteria" and this allows the bad bacteria, c diff to grow and it is toxic to the colon and caused diahrea and other colon related issues. It is treated with other antibiotics as well. ...Read more
Antibiotics: About 99% of the cases of c. Diff are due to the use of an antibiotic to treat another condition such as bronchitis. This is why it is important to reserve the use of antibiotics only for infections that are very likely to be bacterial, and not for every common cold, which is most likely viral, and won't respond to antibiotics. If you end up with a c diff you will need a special antibiotic for wks. ...Read more
If severe enough:
C diff colitis can result in sepsis, which can manifest as alterations in mental status. C diff colitis causing sepsis is life threatening.
The current definition of sepsis is called qSOFA. You get 1 point each for low blood pressure, high respiratory rate, or altered mental status. A score of 2 or more means you have sepsis.
https://en. Wikipedia. Org/wiki/SOFA_score#Quick_SOFA_Score ...Read more
The most important: Thing is hand washing with good old soap and water. Hand sanitizers do not kill c diff spores. ...Read more
Kiss him now: The bug is widespread. It's no danger to him. You can do more than kiss him as soon as you feel well enough. ...Read more
Nothing: There are several new avenues of treatment for clostridium difficile colitis, including one new medication and techniques for recolonization of the colonic flora with organisms which may help control the c. Diff. Work with your id doctor and perhaps he or she could call associates and ask for help. ...Read more
No: The microbe is everywhere and it is troublesome only if gut conditions allow it to overgrow. ...Read more
Yes: If you are otherwise healthy, your likelihood of developing c. Difficille enterocolitis is quite low. Unless you have current symptoms, I don't think you should worry at all. ...Read more
Why must one wait a month after antibiotic course is completed to retest for cdiff? Is three weeks ok?
Wife just diagnosed with cdiff & probably had it for 2 weeks already. Husband doesn't have it. What is the time period for him to contract it?
It's been a week since I was in close contact with someone who had CDiff. Shared bathroom, touched stuff they touched. Would I have gotten sick already?
C diff is a problem for people who have been treated with antibiotics that alter the normal bacterial population in the colon. For a healthy person it is not of much concern.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
Not necessary: When taking I.V. Vanco blood tests are necessary to, measure how much drug is in the blood. Oral vanco is very different from IV and hence this testing is not necessary. ...Read more
Check with your doc: C diff is a very tough infection to clear. Even after antibiotics and resolution of symptoms it is possible to still carry the infection. You should have your doctor confirm that you have cleared the infection. An important thing you can do on your own is to take a probiotic supplement. That will shift the balance of your gut flora to help get rid of the pathogens. ...Read more
How long after a hospital stay (when on meds) would you most likely develop cdiff? Is there a main time frame to look for?
What would cause cronic stomich pain and cramps that only get worse when you eat. Have had cdiff and no signs of it now, ?
Should I be worried that something is wrong with my 8 month old she was put on antibiotic twice and both times she developed cdiff?
Not necessarily: I would give her probiotics on a regular basis and especially when starting antibiotics. ...Read more
Was in hospital for week, went home with pick line meds for 2 weeks duration, been off meds for a month. If I were to get cdiff when would it happen?
C. diff complication: C. diff can be tricky and can actually occur up to 3 months after a course of antibiotics. Most cases however are much closer in time to the antibiotic administration -either during or shortly after (days - weeks) after treatment. Good to take probiotics- I advocate the natural ones like yoghurt, sour cream, kimchi, sauer kraut etc. If it's been one month already, you're probably fine. Call MD if? ...Read more
Just recovered from cdiff about a month ago. Have had night sweats almost nightly for the past 3 weeks. Before that sweats at least weekly for years?
Difficult: That is an extremely difficult question to answer. Clostridia are anaerobic, spore-forming rods (bacilli). C. Difficile is the most serious cause of antibiotic-associated diarrhea (aad) and can lead to pseudomembranous colitis, a severe inflammation of the colon, often resulting from eradication of the normal gut flora by antibiotics. ...Read more