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C. Difficile Treatment

Question

Two times in the past month my daughter has had C. Difficile resulting from antibiotics taken after bowel surgery. We are concerned as the physicians tell us this is a very difficult bacteria to combat.

Answer of our experts

C. Difficile is a bacterium that occurs normally in your stool. When you get antibiotics, you kill other bacteria and get more C. Difficile. This is likely to have occurred after all the antibiotics needed. The idea is to get the C-Diff colony count down and increase the other bacteria to suppress it. If you have had problems with C-Diff before you are likely to get it again when you are on antibiotics. We often give homemade yogurt (the one from the store is typically pasteurized and the bacteria killed) to prevent the overgrowth during antibiotics.

CP/TK 7-13-10

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Recommendation(s)

Feeding and Dental Difficulties

R12
In every CdLS individual with prolonged and marked feeding difficulties, the multidisciplinary assessment (from healthcare workers across many disciplines) should consider (temporary) placement of a gastrostomy (surgical opening through the abdomen into the stomach) as a supplement to oral feeding.
R13
In individuals with CdLS who have recurrent respiratory infections, reflux and/or aspiration (breathing foreign objects into airways) should be ruled out.
R14
The palate should be closely examined at diagnosis. In case of symptoms of a (submucous) cleft palate, referral for specialist assessment is indicated.
R15
Dental assessment and cleaning should take place regularly; a more thorough dental examination or treatment under anaesthesia may be necessary.

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