Any one of the following: |
- Hypotension with or without required use of vasopressors
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- Ileus or significant abdominal distention
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- Peritonitis or significant abdominal tenderness
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- Serum lactate levels >2.2 mmol/L
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- Admission to intensive care unit for CDI
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- End organ failure (mechanical ventilation, renal failure, etc.)
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- Failure to improve after three to five days of maximal medical therapy
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