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Indications for surgical consultation in the management of CDI

Indications for surgical consultation in the management of CDI
Any one of the following:
  • Hypotension with or without required use of vasopressors
  • Fever ≥38.5°C
  • Ileus or significant abdominal distention
  • Peritonitis or significant abdominal tenderness
  • Mental status changes
  • WBC ≥20,000 cells/mL
  • Serum lactate levels >2.2 mmol/L
  • Admission to intensive care unit for CDI
  • End organ failure (mechanical ventilation, renal failure, etc.)
  • Failure to improve after three to five days of maximal medical therapy
CDI: Clostridioides (formerly Clostridium) difficile infection; WBC: white blood cell.
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