How Would You Manage This Patient With Clostridioides difficile Infection? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center

Ann Intern Med. 2023 Aug;176(8):1101-1108. doi: 10.7326/M23-0754. Epub 2023 Aug 8.

Abstract

The Infectious Diseases Society of America/Society for Healthcare Epidemiology of America and the American College of Gastroenterology recently released updated guidelines on management of patients with Clostridioides difficile infection. Although these 2 guidelines generally agree, there are a few important differences in their advice to clinicians. In these rounds, 2 experts, an infectious diseases specialist and a gastroenterologist, discuss antibiotic treatment options for nonsevere disease, the role of fecal microbiota transplantation for fulminant disease, and the use of bezlotoxumab to prevent recurrence in the context of Ms. C, a 48-year-old woman with fulminant C difficile infection.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Clostridioides difficile*
  • Clostridium Infections* / therapy
  • Fecal Microbiota Transplantation
  • Female
  • Humans
  • Middle Aged
  • Practice Guidelines as Topic
  • Teaching Rounds

Substances

  • Anti-Bacterial Agents
  • bezlotoxumab