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These investigators further showed that admission of patients with complicated CDI to a surgical service was associated with a decreased mortality and a shorter mean interval from admission to operation compared with admission to a non-surgical service. Currently, there is no scoring system that creates a threshold for operative management. However, the more negative prognostic signs a patient has, the earlier surgical consultation and operative management should be considered.
Survival of patients treated with segmental colectomy were worse than those treated with subtotal colectomy (41,76,77), likely because CDI usually involves the entire colon.