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The page below is a sample from the LabCE course Clostridium difficile Infection (CDI): Overview, Laboratory Tests and Updated Guidelines.. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Overview and summary of IDSA/SHEA guidelines

The last professional society clinical practice guidelines and recommendations on the diagnosis and treatment of CDI were published in 2010 by the Infectious Diseases Society of American (IDSA) and the Healthcare Epidemiology of America (SHEA). However, these guidelines were unclear relative to the types of tests available for CDI diagnosis. In February 2018, the IDSA and SHEA published new updated guidelines intended to clarify the previously unclear recommendations for laboratory testing. These new guidelines allow for improvements in the diagnosis and management of CDI in adults and children. The overall objective of the new guidelines is to improve the care of patients with CDI. The key changes to these guidelines include:
  • Inclusion of specific pediatric guidelines
  • Discussion on laboratory guided diagnosis in adults
  • Removal of metronidazole for 1st line therapy in adults
  • Discussion on fecal transplantation utilization
  • Consideration of prophylaxis techniques