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Doctor insights on: Cdiff

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What is cdiff?

What is cdiff?

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

Dr. Stephen Scholand
453 Doctors shared insights

Clostridium Difficile (Definition)

C. Diff, it is a spore forming bacillus that when the micro environment of the colon is modified by antimicrobials, it can germinate and elaborate a toxin causing pseudo membranous colitis, ...Read more


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What causes cdiff?

What causes cdiff?

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

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Can cdiff cause alterations in mental status?

Can cdiff cause alterations in mental status?

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

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What is cdiff and what are the known causes and cures for it?

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

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What ppes should you wear when helping someone that has cdiff? Far as given them a shower

The most important: Thing is hand washing with good old soap and water. Hand sanitizers do not kill c diff spores. ...Read more

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Can cdiff lower your platets and hemoglobans?

No: C. Difficile colitis frequently causes a marked increase in white blood cell count. Your hemoglobin would only drop if you had associated GI bleeding. Low platelets are not associated with c.Difficile colitis. ...Read more

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Is cdiff curable and can be transferred by touch?

Yes/Yes: Cdiff is curable and yes is transferable by tough. In the hospital setting it is a common means of transference and why they mandate doctors and nurses wash their hands. ...Read more

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For cdiff, what is the most effective medication or remedy?

For cdiff, what is the most effective medication or remedy?

Depends.: If this is initial disease best treatment is Flagyl (metronidazole) if recurrent consider vancomycin or pulsed therapy. Probiotics may have a role. Stool transplant and other antibiotics are an option for difficult to treat disease. ...Read more

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What to do if I have cdiff, if I start on meds for it mon would I be ok to kiss my bf friday?

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

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I'm sick and I've had cdiff what can I do without id doc?

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

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Can a persons immune system cure a case of cdiff without medicine?

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

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10 weeks after finishing course of pen vk. Am I safe from developing cdiff?

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

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Why must one wait a month after antibiotic course is completed to retest for cdiff? Is three weeks ok?

Why must one wait a month after antibiotic course is completed to retest for cdiff? Is three weeks ok?

To be sure: That is the average time it takes those germs to recover and give a positive test result if the antibiotic was not effective ...Read more

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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?

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?

C Difficile: Zero. C. Diff is not a contagious disease in any normal sense or scenario. This bug lives around us all the time and only becomes a problem when normal GI bacteria in the gut are destroyed. The husband, if normal, will not have a problem with this. ...Read more

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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?

Probably: 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

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Should blood test be done while on vancomycin for cdiff?

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

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Can I still have gallbladder surgery if I just tested positive for cdiff?

Better to hold off: Unless your surgery is a life and death emergency, which gallbladder surgery usually is not, then it is better to hold off on surgery until your treatment for c.Diff is completed. ...Read more

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How long after im on antibiotics for cdiff can I go back to work as a caregiver?

How long after im on antibiotics for cdiff can I go back to work as a caregiver?

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

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How long after a hospital stay (when on meds) would you most likely develop cdiff? Is there a main time frame to look for?

How long after a hospital stay (when on meds) would you most likely develop cdiff? Is there a main time frame to look for?

Any time.: C diff can present as a very rapid onset of diarrhea or can sneak up on you. If you can make a week or two out of the hospital your are likely OK, but persistent diarrhea following hospitalization is pretty suspicious and should be evaluated. ...Read more

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What would cause cronic stomich pain and cramps that only get worse when you eat. Have had cdiff and no signs of it now, ?

Ulcer: Gastric ulcers very commonly get irritated when food enters the stomach both from the increased acid needed to digest the food and from the food physically rubbing the ulcers during digestion. Probably should have an upper endoscopy done. ...Read more

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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

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How long are cdiff bacterial spores viable outside the body?

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

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Can a cdiff infection act up then go away. Then couple days later act up again and go away?

Cdiff: Seems unlikely to occur within those time duration unless treatment schedule not adhered as per directed
diet may also play a role in variable times of diarrhea not due to c.diff ...Read more

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Uncontrolled diarrhea since clindamycim for tooth. Tested negative for multiple parcites including cdiff. What next?

Uncontrolled diarrhea since clindamycim for tooth. Tested negative for multiple parcites including cdiff. What next?

Wrong: Clindamycin is not the usual antibiotic of choice for dental infections. An antibiotic will not cure a dental infection, only limit the extent of the infection for only as long as you take the antibiotic. Please see Dentist, Endodontist, or Oral Surgeon to properly treat Dental issues. See PCP or Gastroenterologist to treat GI issues. You need to see both NOW. ...Read more

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I've been in and out of the hospital for months and I was just diagnosed with cdiff. Instead of having diarrhea I've been constipatedis that normal?

I've been in and out of the hospital for months and I was just diagnosed with cdiff. Instead of having diarrhea I've been constipatedis that normal?

Possible: But not common. Some labs would not run the test on solid stool. I wonder why was the test ordered if you did not have symptoms suggesting C diff. If you had been diagnosed with C diff in the past the last positive test suggests carrier status. ...Read more