logo
episode-header-image
Aug 11
57m 50s

#494 C. diff, Diarrhea, the Microbiome, ...

The Curbsiders Internal Medicine Podcast
About this episode
Dominate C. diff! Learn to distinguish colonization from infection, select first-line therapies, and counsel patients on recurrence prevention and microbiome recovery. We’re joined by IDSA past president and expert on foodborne and intestinal infections, Dr. Cindy Sears (Johns Hopkins University) for a comprehensive update on Clostridioides difficile (C. diff, Cdiff, CDAD, CDI).

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

  • 00:00 Intro
  • 03:00 Guest bio and hobby
  • 04:25 Case of Charles Fleur Fontaine
  • 06:00 Risk factors and epidemiology
  • 08:00 Antibiotic hierarchy of risk
  • 10:00 Diagnosis, testing strategies
  • 14:00 Defining severity
  • 17:30 Treatment options
  • 20:00 Microbiome recovery strategies
  • 24:00 Probiotics and postbiotics
  • 27:00 Infection control counseling
  • 30:00 C. diff and colon cancer
  • 32:00 Recurrent C. diff strategies
  • 35:00 Why some FMT and bezlotoxumab were discontinued
  • 38:00 Microbiota replacement therapies
  • 43:00 Prophylaxis strategies
  • 45:00 Future therapies and ongoing research
  • 47:00 Audience Q&A
  • 52:00 Outro

Credits

  • Written and Produced by: Matthew Watto, MD, FACP 
  • Cover Art and Infographic by:
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Sai S Achi MD,MBA,FACP
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Cynthia Sears MD

Disclosures

Dr. Sears reports no relevant financial disclosures. Dr. Williams financial relationships disclosed include a Merck grant or research support. This relationship has not ended.

Sponsor:
Mint Mobile 

This year, skip breaking a sweat AND breaking the bank. Get this new customer offer and your 3-month Unlimited wireless plan for just 15 bucks a month at mintmobile.com/CURB 

Sponsor:
Panacea Financial

Let Panacea Financial take the financial stress off your plate,so you can get back to doing what matters most. Visit panaceafinancial.com 

Sponsor:
FIGS

Get15% off your first order at wearfigs.com with the code FIGSRX


Up next
Aug 18
#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec
Why we need to stop calling them “endemic” mycoses & more fungi fun! Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections ... Show More
1h 12m
Aug 7
Bonus: Hypermobility Q&A with Bendy Bodies Dr. Linda Bluestein
In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders. 00:00 – Introduction 00:59 – Can PCPs diagnose hEDS without a geneticist? 03:19 – Li ... Show More
51m 22s
Aug 4
REBOOT: #452 NAFLD/MASLD with Dr. Elliot Tapper
We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications. 
1h 14m
Recommended Episodes
Aug 2024
Chronic Kidney Disease (CKD)
Premium Member Resources: https://ninjanerd.org Welcome to the Ninja Nerd Podcast with Zach and Rob! In this episode, we discuss Chronic Kidney Disease (CKD). You'll learn about the causes, symptoms, and treatment options for CKD. We'll discuss clinical cases to highlig ... Show More
42m 52s
Jul 2022
Management of Diabetes Mellitus in Primary Care
This week’s episode is designed for primary care clinicians wanting an overview of current diabetes management. Doctors Lisa and Sara are joined by Dr Marlon Morais and Nicola Milne to talk first about Type 1 diabetes briefly (from the GP point of view) before going on to discuss ... Show More
47m 11s
Nov 2024
How To Replace Exercise, Heat, Cold & Fasting With Pharmaceuticals (WARNING: Proceed At Your Own Risk!) With Dr. Sandra Kaufmann
In today’s episode, you’ll get to explore the cutting-edge world of anti-aging and longevity with Dr. Sandra Kaufmann, a leader in cellular optimization. Dr. Kaufmann guides you through affordable ways to understand your genetic traits, dives into the brain-boosting benefits of l ... Show More
56m 58s
Sep 2024
Cystic Kidney Disease
Premium Member Resources: https://ninjanerd.org Welcome to the Ninja Nerd Podcast with Zach and Rob! In this episode, we discuss Cystic Kidney Disease. You'll learn about the causes, symptoms, and treatment options for Cystic Kidney Disease. We'll discuss clinical cases ... Show More
19m 51s
Aug 2024
DKA Management: Balanced Electrolyte Solutions vs. Saline
In this episode of the Saving Lives Podcast, Eddy Joe delves into the latest research comparing balanced electrolyte solutions to 0.9% saline for treating diabetic ketoacidosis (DKA). Discover how BES could potentially revolutionize DKA management by speeding up recovery and redu ... Show More
9m 7s
Aug 2024
Diabetes Core Update Sept 2024
Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association’s four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximat ... Show More
23m 54s
Nov 2024
Bonus Episode | New Type 1 Diabetes Treatment!!
In this bonus episode, Dr Matt & Dr Mike dive into a new study where fat cells were transformed into insulin-producing cells, transplanted under the abdominal muscle of a Type 1 diabetes patient, controlling blood sugar for a year! Paper discussed in this episode: https://pubmed. ... Show More
42m 13s
Nov 2024
#275 Improve sugar control and put type 2 diabetes into remission with diet, exercise and lifestyle medicine with Dr Rupy Aujla
I’m often asked by colleagues and patients for a full breakdown of what I say in clinic with patients with type 2 diabetes or who are at higher risk of this condition to help them better manage it before medications. But it takes time. And no GP in the NHS or elsewhere has over a ... Show More
1h 32m
Oct 2024
Diabetes Core Update Oct 2024
Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association’s four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximat ... Show More
37m 34s