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Treatment of Clostridium difficile-Associated Diarrhea and Colitis

  • D. N. Gerding
Chapter
Part of the Current Topics in Microbiology and Immunology book series (CT MICROBIOLOGY, volume 250)

Abstract

Treatment of Clostridium difficile diarrhea is well established and has not changed markedly over the past two decades (Peterson and Gerding 1990). The major shift in therapeutic choice has been toward greater use of metronidazolc rather than vancomycin because of increasing concern about vancomycin resistance in organisms such as the enterococcus (HICPAC 1995). However, this should not be interpreted to mean that improvements in therapy are not needed. There continue to be major deficiencies related to high recurrence rates following treatment, and there are no clearly effective treatments for patients with complications such as ileus, toxic megacolon, and perforation. There is increasing interest in biotherapeutic or probiotic approaches to the management of C. difficile disease, both for prevention and treatment (Elmer et al. 1996). Currently, evidence of efficacy for biologic agents is available only for the yeast Saccharonivccs houlardii as an adjunctive therapy for the treatment of recurrent C. difficile diarrhea (McFarland et al. 1994).

Keywords

Fusidic Acid Pseudomembranous Colitis Toxic Megacolon Vancomycin Resistance Oral Vancomycin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • D. N. Gerding
    • 1
  1. 1.Department of Medicine, Medical Service, Veterans Affairs Chicago Healthcare System — Lakeside DivisionNorthwestern University Medical SchoolChicagoUSA

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