Review

Nature Clinical Practice Gastroenterology & Hepatology (2004) 1, 32-38
doi:10.1038/ncpgasthep0018  

Treatment of recurrent Clostridium difficile-associated disease

Christina M Surawicz

Correspondence Department of Medicine, University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Avenue, Box 359773, Seattle, WA 98104, USA

Email
 surawicz@u.washington.edu

At present, there is no uniformly effective treatment for recurrent Clostridium difficile-associated disease. Tapering and pulsing antibiotics after a 10-day standard course can decrease the recurrence of disease, as can adjunct use of the probiotic Saccharomyces boulardii. Restoration of normal colonic flora might be another treatment option, and new treatment approaches being developed include a vaccine.

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