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Lack of Benefit With Combination Therapy for Clostridium difficile Infection
Published online by Cambridge University Press: 06 February 2017
Abstract
Limited data exist regarding combination therapy for Clostridium difficile infection (CDI). After adjusting for confounders in a cohort of patients with CDI and≥1 year old, combination therapy was not associated with significant differences in clinical outcomes, but it was associated with prolonged duration of therapy (1.22 days; 95% confidence interval, 1.03–1.44 days; P=.02).
Infect Control Hosp Epidemiol 2017;38:602–605
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- © 2017 by The Society for Healthcare Epidemiology of America. All rights reserved
References
REFERENCES
1.
Cohen, SH, Gerding, DN, Johnson, S, et al; Society for Healthcare Epidemiology of America; Infectious Diseases Society of America. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol
2010;31:431–455.CrossRefGoogle Scholar
2.
Hensgens, MP, Goorhuis, A, Dekkers, OM, et al. All-cause and disease-specific mortality in hospitalized patients with Clostridium difficile infection: a multicenter cohort study. Clin Infect Dis
2013;56:1108–1116.Google Scholar
3.
Musher, DM, Aslam, S, Logan, N, et al. Relatively poor outcome after treatment of Clostridium difficile colitis with metronidazole. Clin Infect Dis
2005;40:1586–1590.Google Scholar
4.
Pelaez, T, Alcala, L, Alonso, R, et al. Reassessment of Clostridium difficile susceptibility to metronidazole and vancomycin. Antimicrob Agents Chemother
2002;46:1647–1650.Google Scholar
5.
Diff Quik Chek Complete. TechLab website. http://www.techlab.com/diagnostics/c-difficile/ Published 2105. Accessed December 5, 2016.Google Scholar
6.
Mullane, KM, Miller, MA, Weiss, K, et al. SL. Efficacy of fidaxomicin versus vancomycin as therapy for Clostridium difficile infection in individuals taking concomitant antibiotics for other concurrent infections. Clin Infect Dis
2011;53:440–447.Google Scholar
7.
Zar, FA, Bakkanagari, SR, Moorthi, KM, et al. A comparison of vancomycin and metronidazole for the treatment of Clostridium difficile–associated diarrhea, stratified by disease severity. Clin Infect Dis
2007;45:302–307.Google Scholar
8.
Li, R, Lu, L, Lin, Y, Wang, M, Liu, X. Efficacy and safety of metronidazole monotherapy versus vancomycin monotherapy or combination therapy in patients with Clostridium difficile infection: a systematic review and meta-analysis. PLoS One
2015;10:e0137252.CrossRefGoogle ScholarPubMed
9.
Bass, SN, Bauer, SR, Neuner, EA, Lam, SW. Comparison of treatment outcomes with vancomycin alone versus combination therapy in severe Clostridium difficile infection. J Hosp Infect
2013;85:22–27.Google Scholar
10.
Rokas, KEE, Johnson, JW, Beardsley, JR, et al. The addition of intravenous metronidazole to oral vancomycin is associated with improved mortality in critically ill patients with Clostridium difficile infection. Clin Infect Dis
2015;61:934–941.Google Scholar