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This decision tree provides guidance on evaluating diarrhea to determine if it may be caused by C. difficile (C diff). It involves assessing factors like stool consistency, use of laxatives, and clinically significant diarrhea symptoms before deciding whether to initiate precautions and test stool for C diff toxin. A positive C diff toxin PCR test confirms C diff as the cause and precautions should continue for the duration of the patient's stay.
This decision tree provides guidance on evaluating diarrhea to determine if it may be caused by C. difficile (C diff). It involves assessing factors like stool consistency, use of laxatives, and clinically significant diarrhea symptoms before deciding whether to initiate precautions and test stool for C diff toxin. A positive C diff toxin PCR test confirms C diff as the cause and precautions should continue for the duration of the patient's stay.
This decision tree provides guidance on evaluating diarrhea to determine if it may be caused by C. difficile (C diff). It involves assessing factors like stool consistency, use of laxatives, and clinically significant diarrhea symptoms before deciding whether to initiate precautions and test stool for C diff toxin. A positive C diff toxin PCR test confirms C diff as the cause and precautions should continue for the duration of the patient's stay.
What should I do?? Decision Tree ! Is the stool NO: Is it watery unformed? Does it No action needed, conform to the or liquid? continue to monitor container?
YES Is the patient taking
Lactulose, Colace, YES: Senna, Ducolax, Hold medication. If Is the patient Magnesium Oxide, diarrhea resolves, no receiving lactulose, Metoclopramide, etc.? further action needed. stool softeners, or If diarrhea persists, promobility continue with decision agents? Clinically significant are: tree. 1. Were there > 3 loose stools in 24 hours? > 2 NO loose stools in 12 hours? 2. Is it explosive watery diarrhea? Abdominal pain NO: Is it clinically or cramps? No action needed, significant 3. Fever of 101 F? continue to monitor diarrhea? Leukocytosis?
YES
INITIATE ENTERIC CONTACT
PRECAUTIONS: Send specimen for C diff PCR testing C diff toxin detected: C diff toxin not CONTINUE detected: What does PRECAUTIONS FOR DISCONTINUE the PCR DURATION OF STAY SPECIAL CONTACT test says? DO NOT RETEST PRECAUTIONS Not for use in Children lass than 2 years of age 11/10/2015
Kenneth Dean Austin v. Howard Ray, Warden, Jackie Brannon Correctional Center and Attorney General of The State of Oklahoma, 124 F.3d 216, 10th Cir. (1997)