MSH|^~\&|MIC|LMH|||202002041513||ORU^R01|4161621|D|2.3|||AL|NE
PID|1||LM00005473|LM5306|LUMEDTEST^TEST^EMERG||19880608|F||||||||||LM000739/19|9874826735
OBR|1|38878^MIC|00029337^20:MT0000047R^MIC^20:MT47^38878|700.1950^CDT^C. difficile Assay^^^XXX-2144||202002041406|202002030810|||||||202002041403|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|||202002041513
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|||202002041513
OBX|3|ST|700.2060^CDTPCR R^C. difficile toxin B gene^^74822-8^74822-8|1.1|||||||F|||202002041513
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.