Doctor insights on:
Isolation Precautions For C Diff
Ask your Hepatologis: First of all, you should not be on victrelis (boceprevir) alone. It is given for only 12 weeks in addition to standard therapy with Ribavirin and interferon. Your hepatologist should discuss treatment duration, frequency of office visits as well as frequency of blood testing before you begin therapy. I suggest you contact your prescribing physician as soon as possible. ...Read more
Same procedures: Performing dental care on a hepatitis b carrier is no different than doing modern dental procedures on a regular, non-infected person. The standard blood and bodily fluid precautions are adequate. Dental care workers should be sure their hepatitis b immunity is good, from the vaccine or from a past, resolved infection. ...Read moreSee 1 more doctor answer
Y HIV testing have diff windows for same test across diff orgs-CDC,WHO,BASHH. within US some states follow diff window for conclusive results. Even docs on healthtap have diff opinion, Y? Who correct?
Does svr for hepatitis C (after therapy) mean total eradication of the virus? Can a man with svr on HCV be infectious to other household members?
No: no . It's not routinely done , but if the pediatrician feels, it is needed it can be ordered . ...Read more
Cirrhosis?: Recommendations for people with hepatitis c and cirrhosis include avoiding all alcohol, vaccinations for hepatitis a and b if never exposed, ultrasound for liver cancer every six months, endoscopy to look for enlarged veins in the esophagus, limit tylenol (acetaminophen) and discuss all meds with your doctor, and develop a plan for treatment of hepatitis c. Regular doctor visits for monitoring are critical. ...Read more
Name of the organism: The first is the name of the organism the second is the name of the condition. This condition can be varied to the can be very debilitating . You need to see your physician. ...Read more
See below: All things are relative. Ancef (cefazolin) is relatively safe although the risk of getting c. Difficile again is real. The risk of surgical wound infection needs to be weighed against the risk of getting c. Difficile again. If you take the ancef (cefazolin) and develop diarrhea get stool checked for c. Difficile again. ...Read moreSee 1 more doctor answer
High: As our immune system ages it less effectively fights infection. Clostrium difficile is a bacteria that often lives uneventfully in our GI tract. With the use of antibiotics, the normal bacteria in our large bowel is destroyed- c diff can then grow unchecked. C diff can also be spread by health care workers and other patients. It can be very serious and life threatening, especially in the elderly. ...Read more
Confused. Nurse of 21 yrs sitting in limbo w lab results. Nondetectable for hep c since 2006. Lab on 5/15 hep c virus an greater than 11.0. Then test ?
Hep C exposure: Well it sounds like your Hepatitis C antibody is now coming up positive. This means you should have further testing to see if that's really true. Typically what's done is a Hepatitis C viral load-or PCR. That tells the doctor if there really is virus there or not. About 15% of people 'clear' the infection on their own, so you need this test to see. Luckily there's fantastic treatments for this now ...Read more
Should u be on treatment if u tested positive for c diff toxin b & antigen by pcr. But have no diaherra?
C.diff: Asymptomatic carrier state is known to occur with c.Diff. Carriers actively excrete bacteria in stool. However there is not enough studies that treating asymptomatic carriers have any benefit. Hence, the current recommendation is not to treat. You can try using probiotics to improve colonic flora and possibly eliminate the c.Diff though this has not proven to always happen. ...Read more
New medication, TTYD: According to Gilead (maker of Solvadi), in their POSITRON trial, 61% of all pts with Type 3 HepC had a sustained virologic response (SVR) (lower Hep C virus blood counts) at 24 wks. See the package insert (PI) approved by the FDA: https://www.gilead.com/~/media/Files/pdfs/medicines/liver-disease/sovaldi/sovaldi_pi.pdf. In the trial, those w/o cirrhosis were 68% likely to have SVR. TTYD about this. ...Read more
Nausea, vomiting every morning began 2 weeks post c diff tx with vanco/neg c diff test. Diarrhea never resolved. Dr concern -vascular. Active sle tx pred/benlysta/plaq. History chronic diarrhea.
Clostridium difficile toxin b gene present
clostridium dificile antigen presen. Would u no how severe the c diff is?
Have diarrhea or no?: C.Difficile is pathogenic in older children & adults (whose colonic microflora are altered by antibiotics, chemotherapy, salmonella/shigella). C.Diff causes diarrhea w/pseudomembranous & other colitis, complicates inflammatory bowel disease, causes fulminant transmural extension, perforation with peritonitis, toxic megacolon. Treatment, & confirmation of post-treatment eradication, is recommended. ...Read more
SIBO, documented?: Treatment is often offered empirically when sibo (small intestinal bacterial overgrowth) is suspected. However symptoms recur when the antibiotics are gone. Is this due to underlying ibs, regrowth of bacteria (or resistant ones!), parasites, altered GI transit, or something else? Bifidobacter-containing probiotics may reduce gassiness, a xifaxan (rifaximin) trial may help, but evaluation is best pursued now. ...Read more
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