Table 7.
Therapeutic approach to patients with recurrent C. difficile infection
Second course of initial antibiotic, if the patient has mild/moderate disease; if severe disease, begin vancomycin |
If recurrence after vancomycin, re-evaluate and treat with oral vancomycin and add tapering vancomycin regime and s. boulardii |
If recurrence despite above, consider |
Rifampicin |
Cholestyramine |
Fecal bacteriotherapy |