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The Economics of Prefilled Syringes - August 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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A Gross Cure for Recurrent C. diff When antibiotics fail, fecal transplants are remarkably effective. A s cases of recurrent Clostridium difficile infections soar, a promising new treatment has emerged: fecal micro- biota transplantation, which is exactly as it sounds — lining the colon of a C. diff- infected patient with slurried stool from a healthy donor after antibiotic treatments have failed. The donor stool is diluted with a saline or other solution and strained before it's placed in a patient — usually by colonoscopy, nasogastric tube or capsule. The idea is to fight off C. diff by repopu- lating the digestive tract with good bacteria that may have been be killed off by antibiotics, according to the Fecal Transplant Foundation (thefecaltransplantfoundation.org). The power of poop The incidence of C. diff infections has been rising dramatically in the 21 st century. A recent study published in Annals of Internal Medicine tracked the nationwide surge in cases from 2001 to 2012 (osmag.net/9adfcv). By examining data from nearly 39 million patients, researchers found that cases of multiple recurring C. diff had increased by 189%, and cases of common C. diff had increased by 43%. 1 0 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 7 Infection Prevention Jim Burger, Senior Editor • VILE VIAL Fecal microbiota transplants — whether administered via colonoscopy, upper endoscopy, nasogastric tubes or tablets — have a success rate for resolving recurrent Clostridium difficile of at least 80%.

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