By hgreaney@athen…, 9 September, 2021 If surgical mgmt req d subtotal colectomy w rectal preservation preferred per IDSA 9 ACG suggests total colectomy w ileostomy and stapled rectal stump 1 both suggest diverting loop ileostomy w colonic lavage intraluminal vancomycin as alt option
By hgreaney@athen…, 9 September, 2021 Don t use fidaxomicin IVIg or antimotility agents in fulminant dz per ACG1
By hgreaney@athen…, 9 September, 2021 Consider FMT IBD pts w recurrence 1 5 pts w multiple recurrences1 9 those who don t improve on abx esp if poor surgical candidates 1
By hgreaney@athen…, 9 September, 2021 Avoid antimotility agents in untreated CDI but they can be used safely on an as needed basis after anti CDI tx initiated1
By hgreaney@athen…, 9 September, 2021 Individualize decision to withhold continue increase immunosuppression in IBD pts per AGA 5 though ACG recommends against holding immunosuppressants 1 may be reasonable to start steroids or uarr immunosuppression after a few days of abx if no improvement1
