They are. But according to the spec manual oral or rectal vanco is appropriate
for c diff:
If the patient has C. difficile, and IV antibiotic(s) from Table 5.0 or an
appropriate combination of IV antibiotics from Table 5.1 are not started within
the 3 hours following presentation of severe sepsis, and the following
conditions are met, choose value "1." o There is physician/APN/PA documentation
within 24 hours prior to the antibiotic start time identifying the presence of
C. difficile.
o Any one of the treatments below is initiated within 3 hours following
severe sepsis presentation:
Oral vancomycin with or without oral or IV metronidazole (Flagyl)
Rectal vancomycin with or without IV metronidazole (Flagyl)
IV metronidazole (Flagyl) monotherapy
Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Mary Draper
Sent: Friday, August 03, 2018 1:28 PM
To: Duane, Molly; [email protected]
Subject: Re: [Sepsis Groups] [External] Question for sepsis groups
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That's a great question. I think though the definition is looking for IV
antibiotics.
Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]<mailto:[email protected]>
[cid:[email protected]]
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never quite reach the top...
For then we will always strive for greater things and will not be content
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From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Duane, Molly
Sent: Thursday, August 02, 2018 12:23 PM
To: [email protected]
Subject: [External] [Sepsis Groups] Question for sepsis groups
________________________________
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Good Afternoon,
Re: antibiotic choice, if there is a positive C Diff culture, with oral vanco
and IV flagyl ordered, do we also have to give broad spectrum IV antibiotics?
My understanding was that we could be more specific with the antibiotic if we
had a culture result directing the choice.
Thank you,
Molly
Molly Duane RN, BSN, CCRN
Sepsis Program Coordinator
Detroit Receiving Hospital
Harper-Hutzel Hospital
Office: 313-745-4340
Cell: 248-709-6218
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