Help w/lovely 87y/o male with - Cdiff

  1. 0
    I am taking care of a lovely 87 year old gentleman, with Cdiff (diarrhea and mucous in the stool). After a round of anitbiotics for a UTI d/t BPH he ended up with Cdiff. He was initially treated back in Oct. 2009, with Vanco and Flagyl. He has had four more bouts with Cdiff infection and has only been treated with only Flagyl.

    He is now being treated by a Infectious Disease Doc with Vanco and Rifampin and seems to be doing MUCH better (history of dementia, HTN, BPH). The family is so pleased. Any suggestions re: diet/contact precautions that I can give the family or caregivers (he is being taken care of at home) so that this horrible infection does not return would be greatly appreciated. They are so afraid that after this Vanco/Rifampin (two weeks) that he will relapse with the infection.

    I have suggested, Baby Rice Cereal, bananas, apple sauce, Activia (doc recommended), organic chix broth with noddles. Any other suggestions??? HELP!!!!!!!!
    Last edit by muffin7 on Mar 26, '10
  2. 4 Comments so far...

  3. 0
    Without knowing his comorbidities, we can't comment on what to feed him. Best bet is to ask his provider.

    Good luck.
  4. 0
    [quote=muffin7;4202945]I am taking care of a lovely 87 year old gentleman, with Cdiff (diarrhea and mucous in the stool). After a round of anitbiotics for a UTI d/t BPH he ended up with Cdiff. He was initially treated back in Oct. 2009, with Vanco and Flagyl. He has had four more bouts with Cdiff infection and has only been treated with only Flagyl.

    He is now being treated by a Infectious Disease Doc with Vanco and Rifampin and seems to be doing MUCH better (history of dementia, HTN, BPH). The family is so pleased. Any suggestions re: diet/contact precautions that I can give the family or caregivers (he is being taken care of at home) so that this horrible infection does not return would be greatly appreciated. They are so afraid that after this Vanco/Rifampin (two weeks) that he will relapse with the infection.

    I have suggested, Baby Rice Cereal, bananas, apple sauce, Activia (doc recommended), organic chix broth with noddles. Any other suggestions??? HELP!!!!!!!!

    Patient has Dementia, and hypertension that is controlled with Metropolol
  5. 0
    This is probably silly, but have you thought to remind people to wash their hands thoroughly with soap and water (not alcohol based cleansers - which apparently don't do such a good job with C. diff because of the resilience of the spores). Also, it can't hurt to throw some white vinegar in the washing machine with his clothes and sheets; and all over the bathroom for that matter.

    You haven't said how advanced the dementia is - but, assuming he's no longer competent with ADLs - is someone ensuring his fingernails are clean and short?

    Finally, gastrolyte or similar is probably a good idea to keep his electrolytes balanced.

    Hope this helps.
  6. 0
    Thank You, TrishJK.
    I have instructed everyone to continually wash their hands as you recommend. They were using Hydrogen Peroxide in the wash as well as wiping things down. I then recommended diluted bleash for the wash and wiping down after the third go round with re-infection. Do you think the bleach is too strong and they can simply use white vinegar?


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