Interruption of recurrent Clostridium difficile -: Associated diarrhea episodes by serial therapy with vancomycin and rifaximin

被引:214
作者
Johnson, Stuart
Schriever, Christopher
Galang, Minerva
Kelly, Ciaran P.
Gerding, Dale N.
机构
[1] US Dept Vet Affairs, Vet Affairs Edward Hines Jr Hosp, Hines, IL 60141 USA
[2] Loyola Univ, Med Ctr, Maywood, IL 60153 USA
[3] Beth Israel Deaconess Med Ctr, Boston, MA USA
[4] Harvard Univ, Boston, MA 02115 USA
关键词
D O I
10.1086/511870
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Eight women who each experienced 4-8 episodes of Clostridium difficile-associated diarrhea were given a 2-week course of rifaximin therapy when they were asymptomatic, immediately after completing their last course of vancomycin therapy. Seven of the 8 patients experienced no further diarrhea recurrence. The patient who had a recurrence responded to a second course of rifaximin therapy, but rifaximin-resistant C. difficile was recovered after treatment. A controlled trial for treating recurrent Clostridium difficile associated diarrhea appears to be warranted.
引用
收藏
页码:846 / 848
页数:3
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