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The Internet Book of Critical Care Podcast

IBCC Episode 43 Clostridium Difficile

The Internet Book of Critical Care Podcast

Adam Thomas

Foam, Medicine, Health & Fitness, Science, Criticalcare, Medicaleducation

5714 Ratings

🗓️ 5 July 2019

⏱️ 24 minutes

🧾️ Download transcript

Summary

If your nursing colleagues can smell it, and you can't, fear not! We've got you covered for all things C. Diff on an ICU-level. Also, the audio quality is particularly bad on this episode, we apologize. Just the realities of recording on the road! 

Transcript

Click on a timestamp to play from that location

0:00.0

I interrupt this regular scheduled programming to tell you guys.

0:09.0

This is the Maraca version of C. diff.

0:13.0

Sometimes you get a good thing, you got to accept a bad thing.

0:15.0

The audio that Josh has got on this podcast is somewhat variable, shall we say.

0:20.0

But there's some great proles and we've

0:22.3

got a special guest. So bear with us here. Let's listen along.

0:28.8

So welcome back to the Internet Book of Critical Care podcast. This is a special edition.

0:33.3

Mike get a little confusing here. So my name is Josh Farkas. I'm Paul Kron. I'm here with Adam

0:36.9

Thomas and we have a special guest on the show.

0:39.0

My dad, Paul Farkas, guest, enterologist extraordinaire.

0:42.2

Well, thank you very much for inviting me.

0:44.3

It's Dr. Farkas Sr.

0:46.0

It's a Farkas Palooza.

0:47.9

You guys sound alike, too.

0:49.5

So you're brainiacs and we're going to get you confused. So we're going to try to make this as clear as possible, aren't we, Farcas Jr.? Exactly. And we're going to talk about C-DIFs. And we're going to make it so satisfyingly simple because I think a lot of people over complicate this issue, don't they? Yeah. So today, big picture stuff. We'll talk about prevention, presentation, the lab test you need to know about

1:11.4

when do you call Dr. Farcis the senior for when a colonoscopy is going to help and how to

1:16.3

rest stratify your patient. So let's start off with the more important point of this and why we

1:21.3

ended up in this disaster, prevention. Farkis squared. What should we know about this?

1:26.0

Yeah, so I think the key here is to, you know, limit antibiotic use.

1:29.6

We're going to talk about procalcitonin in another chapter.

1:32.7

And I think one key issue here that's been coming up more and more recently is avoiding the use of prophylactic antibiotics for procedures.

1:39.2

Right, Dan, do you think everyone should get antibiotics before any sort of dental clearing or orthopedic surgery procedure, right?

...

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