Saturday, July 19, 2008

here is what we have.... c-dif

so...we remain in isolation!!


Clostridium difficile
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Clostridium difficile

C. difficile colonies on a blood agar plate.
Scientific classification
Kingdom:
Bacteria
Phylum:
Firmicutes
Class:
Clostridia
Order:
Clostridiales
Family:
Clostridiaceae
Genus:
Clostridium
Species:
C. difficile
Binomial name
Clostridium difficileHall & O'Toole, 1935
Clostridium difficile (pronounced /klɒsˈtrɪdiəm dɪˈfɪsɪli/, also known as CDF/cdf', or 'C. diff') is a species of bacteria of the genus Clostridium which are Gram-positive, anaerobic, spore-forming rods (bacillus).[1] C. difficile is the most significant cause of pseudomembranous colitis,[2] a severe infection of the colon, often after normal gut flora is eradicated by the use of antibiotics. Treatment is performed by stopping any antibiotics and commencing specific anticlostridial antibiotics, e.g. metronidazole.

some answers....



Just saw Dr. Pena. One of the test did come back and it was positive for the bacteria. We will continue to do the intravenous antibiotics and take it very slow. She will get another x-ray in the morning. She did get a low grade fever again today. Interestingly enough it was about half hour after she had something in her system (sprite) for the first time in 24 hours. It will be very interesting to see how things go as we start to introduce foods back in at some point.


Jed is at the RMH doing a little bit of laundry and resting. He is going stir crazy here. It is much harder since we can not leave the room. The days went much faster before when we could wonder around and use the playroom.


If Maddie stays the same the rest of the evening I am going to head over and sleep at the RMH tonight. We will give you info as we receive it.

todays update...

Mads had a good night sleep last night. Slept from about 9 until 6. Had an xray done this morning and they say that it looks pretty good. some gas still in there. Dr. Pena said that he does not want to start food again yet. Today she will do clear liquids and see how that goes. They expect the stool sample results tonight or tomorrow morning. The resident said that what they are looking for is a bacteria that is a result of the antibiotics that she was on after surgery. Something about your good flora being messed up.

We are assuming that we will be staying at this fine home away from home several more days. If there is no food today then hopefully that will happen tomorrow. I am confident that they will not let her go within 24 hours of eating as they will want to make sure that everything is working. The resident said as she left " see you on Monday". I almost cried!!! Do you think that 5/3rd bank will give us a reduced mortgage this month since we have not been home???!!! The days go much slower with the isolation because we can not go to the playroom or do anything fun. Child life has been good about bringing crafts and games to the room. Trying to keep all of us from going stir crazy!

Madison seems pretty comfortable. She is still not interested in drinking anything. I am wondering if she is fearful that she will get sick. She has only complained about belly pain a few times today. We will keep you posted as we get any new info.

Thanks for the prayers,
nikki