What Is C. Diff?
Reviewed: Dr. Gromatzky
8. Treatment and Management
This organism is present in 2% to 3% of healthy adults and 70% of healthy infants. Asymptomatic individuals do not require treatment. Severe cases will require oral vancomycin as it helps resolve symptoms faster and results in less treatment failures. Oral metronidazole is recommended for mild to moderate cases as the initial treatment.
For patients with multiple recurrent cases of C. diff infection, fecal transplantation can be recommended. Surgery may be recommended for patients who develop complications such as colonic perforation or deterioration of condition despite treatment. Other supportive measures include adequate fluid and electrolyte replacement and reviewing the use of medications.
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