A 59-year-old with hospital-acquired C. difficile after broad-spectrum antibiotics has fulminant disease with hypotension and ileus. Best antibiotic a...

Question

A 59-year-old with hospital-acquired C. difficile after broad-spectrum antibiotics has fulminant disease with hypotension and ileus. Best antibiotic approach?

Accepted Answer

Oral vancomycin plus IV metronidazole (consider rectal vancomycin)

Answer

Fidaxomicin alone

Answer

Probiotics alone

Answer

Oral metronidazole only

Answer

Stop antibiotics and observe

us-abem MCQ (SBA): Fulminant CDI

A 59-year-old with hospital-acquired C. difficile after broad-spectrum antibiotics has fulminant disease with hypotension and ileus. Best antibiotic approach?