Open AccessRole of Surgery in Clostridium difficile Infection
Author(s) -
Aela Vely,
Paula Ferrada
Publication year - 2020
Publication title -
clinics in colon and rectal surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.884
H-Index - 38
eISSN - 1521-5741
pISSN - 1530-9681
DOI - 10.1055/s-0040-1701232
Subject(s) - medicine , clostridium difficile , fulminant , clostridioides , vancomycin , colectomy , antibiotics , intensive care medicine , clostridium , disease , ileostomy , surgery , microbiology and biotechnology , ulcerative colitis , staphylococcus aureus , bacteria , genetics , biology
Clostridium (reclassified as " Clostridioides ") difficile infection (CDI) occurs as a chronic or an acute illness with intensity varying from mild to severe. Although most cases of CDI can be managed with antibiotics and supportive care, when the patient presents with fulminant disease, the early decision to perform surgery is imperative for survival. The current standard of care is the subtotal colectomy. However, loop ileostomy with vancomycin enemas delivered into the colonic mucosa has been described as a viable option on selected patients.