c diff

Aug 06, 2004 12:09 PM

by saribeth

Hi all...I have a hospice pt with c diff...I know about using universal precautions and using his own thermometer, is there anything else we should be doing...he has multiple skin tears that are draining etc... how long is it communicable etc...he has finsihed his Flagyl... thanks !

kay · Aug 08, 2004, 07:53 AM

A stool culture 48 hours post Flagyl will confirm whether or not the Flagyl was effective. If still positive, usually vancomycin is then given.

ktwlpn · Aug 08, 2004, 12:34 PM

If he is continuing with frequent loose stools try lactobacillus and maybe questran...The skin on his bottom is torn ? I have had really good results with a zinc oxide based cream-staff just needs to be reminded that you should not try to scrub it off but just cleanse gently and re-apply prn...Maybe a fecal collection device to protect the area?

kay · Aug 08, 2004, 03:17 PM

Yes, the lactobacillus is a really good idea.

We had such good results in a couple of our patients who continued to have frequent loose stools even after the C Diff was resolved that our new protocol now includes giving Lactobacillus to all patients who present with C Difficile.

saribeth · Aug 09, 2004, 05:07 PM

c diff

many thanks for the info...the doc has put him on another regime of flagyl for 10 days...not even a stool culture...he is 95 and on hospice... the pt not the doc!!!!

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c diff

c diff

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