MSH|^~\&|MIC|RMH|||202001141116||ORU^R01|4145909|D|2.3|||AL|NE
PID|1||RM00003593|RM3179|PHATEST^RMH1^|||F||||||||||RM000118/19|
OBR|1|37920^MIC|00028573^20:MT0000017R^MIC^20:MT17^37920|700.1950^CDT^C. difficile Assay^^^XXX-2144||202001141059|202001141056|||||||202001141056|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|||202001141116
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|||202001141116
OBX|3|ST|700.2060^CDTPCR R^C. difficile toxin B gene^^74822-8^74822-8|1.1|||||||F|||202001141116
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.