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Hot Topic: Translating the Updated IDSA
C. difficile
Infection Guidelines to Clinical Practice
Pre-Activity Survey
1.
The term used to describe a disturbed colonic microflora that leaves patients susceptible to C. difficile infection via a loss of colonization resistance is:
Toxic megacolon
Dysbiosis
Probiotic syndrome
Fecal microbiota dysfunction
2.
Risk factors for CDI include all of the following except:
Older age
Recent hospitalization
Exposure to antiviral medication
Lack of anti-toxin antibody response
3.
Clinical trials demonstrate that, compared to vancomycin, the use of fidaxomicin in the treatment of CDI resulted in significantly:
Higher overall clinical cure rates
Higher clinical cure rates for moderate-to-severe CDI only
Lower clinical cure rates in patients with mild infection
Lower rates of recurrent infection
4.
Clinical evidence supports the use of each of the following to decrease the risk of CDI recurrence rates except:
Fecal microbiota transplantation
Metronidazole
Use of a rifaximin chaser following vancomycin therapy
Use of bezlotoxumab with standard of care
5.
According to the latest IDSA/SHEA guidelines, which of the following is not an appropriate treatment choice for a patient with a first recurrent episode of CDI?
Vancomycin PO plus metronidazole IV
Vancomycin standard dosing
Prolonged tapered vancomycin regimen
Fidaxomicin standard dosing
6.
Clinical trials demonstrate that antibodies against which of the following toxins can reduce the rate of recurrence of CDI?
Toxin A
Toxin B
Toxin A and B
Binary toxin