Treatment FAQ

cdiff what if treatment does not work

by Maggie Kassulke DVM Published 3 years ago Updated 2 years ago
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If C. difficile infection is related to an antibiotic you're taking, your doctor will likely discontinue use of that drug. In many cases, however, an antibiotic treatment is critical for treating another infectious condition.

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What your doctor won't tell you about C diff treatments?

What Your Doctor Won’t Tell You About C diff Treatments 1 You’re getting the standard protocol treatments, NOT what’s best for you. 2 Your infection can easily come back again later. 3 Antibiotics are risky drugs with negative side effects. 4 Washing your hands and other cleaning methods may be doing you more harm than good in...

Can I return to work or school after C diff treatment?

You and your children should return to work or school only when your symptoms have stopped. Can I still spread C. diff after treatment? The risk of spreading C. diff after completing treatment is low. But if you’re carrying the germ even without symptoms (see the “ Your Risk of C. diff ” page), you can still spread it to others.

How to stop the cycle of recurring C diff infection?

The same drugs used for C. difficile treatment can beat down your body’s immune system and natural defenses, leaving the door wide open for future infections. If you want to stop the cycle of recurring infection, you have to understand the underlying causes of your infection and how to strengthen your body’s natural defenses. 3.

What are the treatment options for Clostridium difficile (CDI)?

If the patient is positive for CDI: Continue isolation and contact precautions. Use antibiotics judiciously. Clean room surfaces thoroughly on a daily basis while treating a patient with C. diff and upon patient discharge or transfer using an EPA-approved spore-killing disinfectant.

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What happens if you can't cure C. diff?

If a C. diff infection isn't treated quickly, you could become dehydrated due to severe diarrhea. This loss of fluids might also affect your: Blood pressure.

What if vancomycin doesn't work for C. diff?

If patients do not respond, vancomycin can be increased to 2 g daily and the addition of IV metronidazole and/or vancomycin enemas can be considered, as well as early surgical consultation.

Why is it hard to treat C. diff?

C. difficile is a gram positive bacterium. This bacterium is everywhere in the environment, and produces spores that are hard to get rid of.

How long does it take for C. diff to run its course?

Although in about 20% of patients, CDI will resolve within two to three days of discontinuing the antibiotic to which the patient was previously exposed, CDI should usually be treated with an appropriate course (about 10 days) of treatment, including oral vancomycin or fidaxomicin.

Can C. diff come back while on vancomycin?

Treatment of Clostridium difficile infection (CDI) with either metronidazole or vancomycin is associated with recurrence in 20%–30% of patients. Recurrence of disease is frustrating because there is no approved treatment alternative that provides a lower probability of yet another recurrence.

How long does it take vancomycin to stop C. diff diarrhea?

Diarrhea ceased completely within two days of the start of vancomycin in nine episodes, within three to seven days in six episodes, and within eight to 14 days in the remaining four episodes, and within eight to 14 days in the remaining four episodes.

When should you go to the ER for C. diff?

Call your doctor or nurse call line now or seek immediate medical care if: You have a fever over 38.3°C (101°F) or shaking chills. You feel light-headed or have a fast heart rate. You pass stools that are almost always bloody.

Should someone with C. diff be hospitalized?

Your GP will decide whether you need hospital treatment (if you're not already in hospital). If the infection is relatively mild, you may be treated at home. If you're in hospital, you might be moved to a room of your own during treatment to reduce the risk of the infection spreading to others.

Do you have to be hospitalized for C. diff?

People who have a severe C. difficile infection tend to become dehydrated and may need to be hospitalized.

How long can you stay on vancomycin?

How long can you stay on vancomycin (Vancocin)? For C. diff diarrhea or Staph intestinal infections, take vancomycin (Vancocin) by mouth for 7 to 10 days.

How long does it take to get rid of C. diff after antibiotics?

Clostridium difficile (C diff) infection typically resolves within two weeks of starting antibiotics, however, many people become reinfected one to three weeks afterward.

Is vancomycin the strongest antibiotic?

Vancomycin is active only with respect to Gram-positive bacteria. It is the most powerful of all of the known antibiotics with respect to S. aureus and Staphylococcus epidermidus, including methicillin- and cephalosporin-resistant strains.

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