Spencer Kelley Profile picture
MD/MBA, Red Raider, Internal Medicine. Christian trying to get better each day.
Aug 1, 2022 β€’ 5 tweets β€’ 17 min read
@halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD #CDI treatment:
πŸ’ŽπŸš« oral πŸ’Š metronidazole in #IBD
πŸ’Ž@AmCollegeGastro πŸ‘‡
bit.ly/ACG-Guideline-…
πŸ’ŽIDSA : fidaxo > vanco
πŸ’ŽIBD pts might require a longer course
Non-severe:
πŸ’Š fidaxo x 10d
OR
πŸ’Š vanco x 14-21d
Severe:
πŸ’Š fidaxo x 10d
OR
πŸ’Š vanco x 21d
βž•/βž– πŸ’‰ metronidazole @halesj126 @MondayNightIBD @dunleavy_katie @SanjeevaniTomar @yaransarkis @RomyChamoun @BassiMehak @JosephHabibi_MD @DCharabaty @DSTEINGIMD @BeniwalPatelMD @AmCollegeGastro #CDI treatment cont’d:
Fulminant:
πŸ’Š vanco
βž•
πŸ’‰ metronidazole
βž•
Vanco enema if ileus
Additionally:
✳️ supportive cares
✳️ πŸ”ͺ consult
✳️ πŸ€” #FMT πŸ’©πŸ”¦