Infection Control – C.Diff

FRCEM EXAM QuestionsCategory: March 2017Infection Control – C.Diff
FRCEM Intermediate Staff asked 2 years ago
An 80-year-old-lady is brought to AED with profuse watery diarrhea ongoing for 2 days. She was discharged from hospital a
week ago, where she had been having treatment for a UTI.
A. Besides hand hygiene how will you prevent transmission? (1 mark)
B.Other than antibiotics, what other types of drug increase the risk of C. difficile colitis? (1 mark)
C. What is the first line treatment for C. difficile colitis? (include dose and duration) (1 mark)

1 Answers
FRCEM Intermediate Staff answered 2 years ago
A.
-isolation: allocating a single room with a closing door to a patient with a suspected or confirmed infection
-wearing specific personal protective equipment
-Safe handling and disposal of infectious material, particularly sharps/reprocessing of reusable medical equipment and instruments
-appropriate handling of linen
-restricting movement both patients and healthcare workers
-alert all staff
-inform the Infection control department, involve infectious disease specialist

B.
-Acid-suppressing drugs e.g. PPI or H2-receptor antagonist

C.
-Metronidazole 400 – 500 mg t.d.s for 10 – 14 days