Thread by @Spencerkelley7

@halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD #CDI treatment:
💎🚫 oral 💊 metronidazole in #IBD
💎@AmCollegeGastro 👇
bit.ly/ACG-Guideline-…
💎IDSA : fidaxo > vanco
💎IBD pts might require a longer course
Non-severe:
💊 fidaxo x 10d
OR
💊 vanco x 14-21d
Severe:
💊 fidaxo x 10d
OR
💊 vanco x 21d
➕/➖ 💉 metronidazole

@halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD @AmCollegeGastro #CDI treatment cont’d:
Fulminant:
💊 vanco
➕
💉 metronidazole
➕
Vanco enema if ileus
Additionally:
✳️ supportive cares
✳️ 🔪 consult
✳️ 🤔 #FMT 💩🔦

@halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD @AmCollegeGastro As the saying goes an algorithm is worth a 1000 words and fortunately, we have the great @wabillin algo on how to approach CDI in IBD

@halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD @AmCollegeGastro @wabillin #CDI recurrence:

Risk factors:
age
h/o recurrence
antibiotic use
PPI use
#IBD

Tx:
🥇 rec:
💊 fidaxo bid x15d
💊 fidaxo bid x 5d ➡️ qod day7-25
OR
💊 vanco 125mg QID pulse taper
➕/➖ 💉 bezlotoxumab

🥈 rec:
Adjust IBD therapies to control🔥
#FMT 💩🔦

@halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD @AmCollegeGastro @wabillin 9/ To learn more about #CDI in #IBD

Join @DCharabaty for a #MondayNightIBD📽️Brunch w the expert @DrJessicaA

🗓️August 8 @MondayNightIBD

We will talk how to position #CDI therapies in IBD, including #FMT, IV Bezlotoxumab & the new exciting micro biome-based 💩therapies