Antibiotic Induced Diarrhoea & Colitis in Orthopaedic in-Patients
2 patients undergoing total hip replacement by the orthopaedic dept. @ Guys group of hospitals received prophylactic lincomycin during the procedure, (1.2). Subsequently, they developed pseudomembranous colitis. Since lincomycin is an effective antistaphylo-coccal antibiotic that penetrates both normal & infected bone (3.4), the unexpected frequency of this side effect, which was not initially recognised as being due to the drug, led us to question the wisdom of continuing its routine use for prophylactic cover during this procedure. Subsequent studies (5) showed that cephradine was not a satisfactory alternative to lincomycin in this situation. In view of these problems and the subsequent crop of case reports that appeared in the literature at the end of 1973 (6) and early in 1974 (7–11), we decided to conduct a retrospective survey of the incidence of diarrhoea & colitis in orthopaedic in-patients at Guy’s durin the 19 months (January 1973 — August 1974) that pseudomembranous colitis was becoming recognised in the U.K. as being associated with lincomycin & clindamycin.
KeywordsPseudomembranous Colitis Subsequent Crop Satisfactory Alternative Staphylococcal Sepsis Unexpected Frequency
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