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Decision-IQ Decision-IQ

Decision-IQ: Managing Recurrent Clostridioides Difficile Infection in a Patient With Ulcerative Colitis


This activity was developed by Med-IQ in collaboration with Duke Health.

Med-IQ      Duke Medicine
 

Released:
9/4/19
Expires:
9/3/20

Maximum Credits:

0.25
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.

Decision-IQ Decision-IQ
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.
Released:
9/4/19

Expires:
9/3/20

Maximum Credits:
0.25
Decision-IQ Decision-IQ
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.

Released:
9/4/19
Expires:
9/3/20


Maximum Credits:
0.25


Overview:

In this brief, case-based activity, meet a 35-year-old man with a history of ulcerative colitis (UC) who has been admitted to the hospital. Approximately 2 weeks ago, he began experiencing a symptom flare-up with numerous loose stools per day with small amounts of blood and mucus, low-grade fevers, and abdominal pain.

As you move through this activity, you will:

  • Be directed to useful resources to help you make diagnostic and management decisions for this patient
  • See how your answers compare with your peers’
  • Receive insights from gastroenterologist, Amy Barto, MD, on identifying and managing Clostridioides difficile infection (formerly known as Clostridium difficile) in a patient with UC

CME Information:

Faculty
Amy Barto, MD
Associate Professor of Medicine
Division of Gastroenterology
Duke University School of Medicine
Durham, NC
  
Activity Planners
Susan Kuhn, MHSc
Manager, Educational Strategy and Content
Med-IQ
Baltimore, MD
 
Rebecca L. Julian, MS, ELS
Senior Manager, Editorial
Med-IQ
Baltimore, MD
 
Samantha Gordon
CME Specialist
Med-IQ
Baltimore, MD
 
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
Med-IQ
East Lansing, MI
 
Learning Objective
Upon completion, participants should be able to:

  • Describe strategies to identify and manage Clostridioides difficile infection in patients with UC

Target Audience
This activity is intended for gastroenterologists.
 
Statement of Need
Patients with inflammatory bowel disease (IBD), especially ulcerative colitis (UC), have an increased risk of Clostridioides difficile infection (CDI, formerly known as Clostridium difficile) and recurrent CDI in particular. In patients with UC, CDI is associated with an increased risk of hospitalization, surgery, and morbidity. Furthermore, the diagnosis of CDI in an individual with UC is challenging as it is difficult to distinguish it from an IBD flare-up. Management challenges include choosing an appropriate antibiotic therapy, determining the optimal timing of antibiotic initiation, adjusting immunosuppressive therapy (if needed), and assessing candidacy for fecal microbiota transplantation. As the incidence of CDI in the general population is increasing—with even greater increases seen in patients with IBD—gastroenterologists must be able to overcome the unique diagnostic and management challenges presented by CDI in UC.

Collaboration Statement
This activity was developed by Med-IQ in collaboration with Duke Health.
 
Accreditation/Designation Statements
Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
 
Med-IQ designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Medium/Method of Participation
This CME activity consists of a 0.25-credit online publication. To receive credit, read the introductory CME material, read the publication, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
 
Initial Release Date: September 4, 2019
Expiration Date: September 3, 2020
Estimated Time to Complete This Activity: 15 minutes

Disclosure Policy
Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.

Disclosure Statement
The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation. 
 
Amy Barto, MD, has indicated no real or apparent conflicts.

Susan Kuhn, MHSc
Spouse Ownership interest (stocks/stock options – excluding mutual funds): Illumina, Johnson & Johnson, Viking Therapeutics                              
  
The peer reviewers and other activity planners have no financial relationships to disclose.
 
Statement of Evidence-Based Content
Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.
 
Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.
 
Contact Information        
For questions or comments about this activity, please contact Med-IQ. Call (toll-free) 866 858 7434 or email info@med-iq.com.

System Requirements

Desktop

Mobile

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    • Android (eg, Samsung Galaxy)
    • Apple (eg, iPhone/iPad)
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    • Android (Chrome)
    • Apple (Safari)

Applications & Software

For technical assistance, please refer to our Support Manual.

Disclaimer
The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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Med-IQ is committed to honoring your privacy and protecting any personal information you choose to share with us. For detailed information about our privacy notice, please visit: www.med-iq.com/privacy-statement/.
 
Copyright
© 2019 Med-IQ, Inc. and Duke University Health System

 

Unless otherwise indicated, photographed subjects who appear within the content of this activity or on artwork associated with this activity are models; they are not actual patients or doctors.

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