CPE stands for Clostridium difficile-associated colitis (CDAC), also known as pseudomembranous colitis, is an infection of the colon caused by the bacterium Clostridium difficile. This condition often occurs as a result of antibiotic use, which disrupts the normal balance of bacteria in the intestines and allows C. difficile to overgrow and produce toxins that damage the lining of the colon.
Symptoms of CPE include severe diarrhea, abdominal pain, fever, and possibly blood or mucus in the stool. In severe cases, complications such as bowel perforation, sepsis, and toxic megacolon can occur, which may require emergency surgery.
Diagnosis of CPE is typically done through stool tests to detect the presence of C. difficile toxins. Treatment involves discontinuing the offending antibiotics, if possible, and starting specific antibiotics to target the C. difficile infection. In severe cases, surgery may be needed to remove the infected portion of the colon.
Prevention of CPE involves appropriate antibiotic use, good hand hygiene, and infection control measures to prevent the spread of C. difficile in healthcare settings. Recurrent cases of CPE may require additional treatments such as fecal microbiota transplant to restore a healthy balance of gut bacteria.
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