MSH|^~\&|MIC|SMH|||201912121052||ORU^R01|4128002|D|2.3|||AL|NE
PID|1||SM00047030|SM46813|LABTESTPUG^LUMED^||20140201|M||||||||||SM003628/19|9874841706
OBR|1|36692^MIC|00027817^19:MT0000245R^MIC^19:MT245^36692|700.1950^CDT^C. difficile Assay^^^XXX-2144||201912121045|201912121045|||||||201912121045|Stool^^^|||||||||MB|F||||
OBX|1|ST|700.2060^CDTPCR R^C. difficile toxin B gene^^74822-8^74822-8|1|C.difficile -POSITIVE by molecular assay(NAT)||||||F|||201912121052
OBX|2|CE|700.2060^CDTPCR R^C. difficile toxin B gene^^74822-8^74822-8^O:NATCDIFF|1.1|NATCDIFF^C. difficile toxin B detected||||||F|||201912121052
OBX|3|ST|700.2060^CDTPCR R^C. difficile toxin B gene^^74822-8^74822-8|1.1|||||||F|||201912121052
NTE|1||Patients positive for the C. difficile toxin B gene should
NTE|2||not have a test of cure as the test may remain positive for
NTE|3||months after symptom resolution.
NTE|4||Approximately 25% of adequately treated patients will have a
NTE|5||relapse of C. difficile disease. Repeat C. difficile testing
NTE|6||is not helpful.
NTE|7||
NTE|8||A copy of these results has been sent to Infection
NTE|9||Prevention and Control.
NTE|10||
NTE|11||For mild or first recurrent Clostridium difficile associated
NTE|12||diarrhea in adults, treatment with oral vancomycin is now
NTE|13||considered more effective than metronidazole.  Consult
NTE|14||Infectious Disease Society of America (IDSA) 2017
NTE|15||C.difficile guideline or UpToDate.