Management of C Diff

From Megan Von Isenburg, DUH Medical Librarian:

Don’t forget to check Custom ID for the Duke guidelines. You can get to it from Clinical Tools, Virtual PIN, or by typing Custom ID into the URL bar. Here’s a direct link – http://customid.duhs.duke.edu/DukeMed/DUH/Index.asp

To find the best evidence/literature –

There’s a nice comparative effectiveness review in Annals: Drekonja DM, Butler M, MacDonald R, Bliss D, Filice GA, Rector TS, Wilt TJ. Comparative effectiveness of Clostridium difficile treatments: a systematic review. Ann Intern Med. 2011 Dec 20;155(12):839-47. Review. PubMed PMID: 22184691.

The closest we got to a definition of treatment failure was 6 days, from this recent systematic review: Vardakas KZ, Polyzos KA, Patouni K, Rafailidis PI, Samonis G, Falagas ME. Treatment failure and recurrence of Clostridium difficile infection following treatment with vancomycin or metronidazole: a systematic review of the evidence. Int J Antimicrob Agents. 2012 Jul;40(1):1-8. Epub 2012 Mar 6. Review. PubMed PMID: 22398198.