Oral vancomycin prophylaxis may reduce C. diff recurrence

The use of oral vancomycin prophylaxis was associated with a significant decrease in the recurrence of Clostridium difficile infection, according to a poster presentation at the Interscience Conference on Antimicrobial Agents and Chemotherapy.

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Researchers analyzed 203 patients meeting the criteria for high risk, with a history of positive C. diff polymerase chain reaction test and symptoms of C. diff. The patients were divided into two groups — 71 in the vancomycin prophylaxis group and 132 in the group that did not receive vancomycin prophylaxis.

The study found that one patient in the vancomycin prophylaxis group developed C. diff while 35 patients developed C. diff in the group that did not receive vancomycin prophylaxis.

A prospective study could potentially stratify patients at risk for recurrent C. diff and determine which populations may benefit most from secondary prophylaxis with oral vancomycin, noted the poster authors.

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