Post Reply C. Difficile and the Overuse of Antibiotics
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31 / M / Riding sound waves
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Posted 1/16/15
Fifty percent of antimicrobial prescriptions are inappropriate for the infection. Many doctors prescribe an antibiotic based on symptoms alone and no further testing is done to rule out other causes. There are some infections that should be empirically treated based on symptoms alone such as urinary tract infections and then further testing is done while the patient is on antibiotic treatment.

C. Difficile is a bacteria that can overgrow in the bowel from regular antibiotic use. The reason that this specific bacteria overgrows is that most antibiotics do not target C. Difficile. Symptoms range from mild, self limiting diarrhea to life threatening inflammation of the colon. This is a huge problem in most hospitals in the USA and Canada. Combating this disease is getting more and more difficult as a new strain of C. Difficile is resistant to two out of the three specific antibiotics that target it.

I have been diagnosed with a C. Difficile infection and I am undergoing treatment with metronidazole. I am almost done treatment and have not had any symptoms for a week. Have any of you experienced infections related to the use of antibiotics? Do you think that doctors should only use antibiotics if the infection is serious?
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Posted 1/16/15
infections should be treated with amputation alone
Posted 1/16/15
Haven't experienced secondary infections.
No. Antibiotics should be given if bacterial infection is suspected, to prevent the disease from becoming serious. But the main problem is people don't finish their doses.


P.S. I learned this in science school, but you don't have to capitalise the species name, i.e. "difficile". Only the genus name needs to be capitalised, i.e. Clostridium. The proper way of writing any organism's scientific name is, "C. difficile".
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Posted 1/16/15
I encountered c.dif in the hospital, mostly icu patients with long term use of a certain antibiotic/s...

I guess proper prescribing of antibiotics... basically, no inessential prescription....
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Posted 1/16/15
Doctors prescribe antibiotics for kids with a slight cough to please the parents. Parents don't want to hear "just get rest" they must force antibiotics down their kids throats expecting it to work 100% of the time. Because of this, I blame the parents and the doctors both for overreacting and over-prescribing.
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Posted 1/16/15
http://www.webmd.com/digestive-disorders/clostridium-difficile-colitis?page=2

Which tells us C. Diff is killed off easily enough by antibiotics.

Antibiotics kill all gut bacteria, it doesn't target specific good or bad, just nukes it all.

I had all kinds of gut issues before I started a strict probiotic regimen. I'll always praise probiotics since I've felt for myself the difference they can make.
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Posted 1/16/15
nope. i think there's only been 3 times in my 33 years on this earth that I've been prescribed antibiotics... and two of them were for serious mouth infections caused by broken teeth. (my wisdom teeth which split in half this year, and my front teeth which had been broken and rebuilt a year or two ago) Both had been seriously infected due to giant gaping holes so....lol.

I also retain my tonsils and my appendix. I just don't go to the doctors for much.
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Posted 1/16/15 , edited 1/16/15
I've only been prescribed antibiotics for my facial acne and when I got pneumonia last year.
My pneumonia had escalated from a chest infection to a full blown case, so the doctor I went to gave me antibiotics and a shot to the hip to help me jumpstart recovery. My lungs were 25% functional, so I think at that time, antibiotics were a definite necessity.

Do I need them for my acne? Well, if I want to have a blemished complexion, perhaps I'd be okay with it, but being very self conscious about my face, I'd rather risk adverse effects of antibiotic medication than sacrifice my clear skin.
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31 / M / Riding sound waves
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Posted 1/16/15

GayAsianBoy wrote:

Haven't experienced secondary infections.
No. Antibiotics should be given if bacterial infection is suspected, to prevent the disease from becoming serious. But the main problem is people don't finish their doses.


P.S. I learned this in science school, but you don't have to capitalise the species name, i.e. "difficile". Only the genus name needs to be capitalised, i.e. Clostridium. The proper way of writing any organism's scientific name is, "C. difficile".


Oh okay. Thanks for that information.
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Posted 1/16/15 , edited 1/16/15
Over-prevalence of antibiotic use is well known of and documented especially with family practitioners and urgent care centers. C-diff is horrendously common in hospital too due to to multiple antibiotic therapy.

See what happens is that C-diff is common in the gut of all of us along with various other strains. It's kept in check by the body's other natural flora production until antibiotics (which cannot differentiate between good and bad flora) beats it all down. When the flora begins to grow back, sometimes the bad strains of flora get a hold and spread quickly leading to conditions like C-Diff which gives you nasty infectious diarrhea like op stated.

Plenty of fluids, washing with soap and water as C-Diff isn't affected by sanitizer (it's a spore with a hard protective shell) and isolation during the infected time will limit the chances of you spreading it too a friend or a loved one.

Good luck buddy!

Am RN IRL.
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Posted 1/16/15

Lowlights wrote:

infections should be treated with amputation alone


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