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Clostridium difficile, stomach infection, clindamycin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi,
User :   hello
User :   I have a question about C-diff and clyndamycin
Doctor :   Yes, please proceed
User :   how likely is this to occur
User :   and is there anything I can do to avoid getting it
Doctor :   I could say its into a category of infections which is considered moderately contagious and the possibility of infection depends on the source in the vicinity
Doctor :   Well since it spreads mostly through contact, fomities and water .Avoiding contact with contaminated above will prevent the infection
User :   yes, but I'm talking about if someone who is taking the anti biotic clindamycin, how likely are they to get C diff, and can it be avoided
Doctor :   Most of times this infection is considered to be nosocomial ( hospital acquired )
Doctor :   yes, with clinadamycin there is a very low risk of contacting the C.difficile infection
Doctor :   Though it is not used as specific Prophylaxis against the C diff but , it does protect for the infection
User :   what protects against the infection
Doctor :   The clindamycin a broad spectrum antibiotic if you are on it
User :   yes I know it is, but was told that it has a high incidence of causing C diff
Doctor :   The hypothesis that C diff growing more is stil unproved
Doctor :   It is considered to increase in a high virulent type and if the pt with existing Pseudomembranous colitis.. taking Clindamycin can worsen
Doctor :   As some genetic variants of C diff which are associated with Pseudomembranous colitis have high resistance to Clindamycin
Doctor :   So , its not true that taking clindamycin will increase the risk of C diff infection
User :   ok
Doctor :   Is there anything i can help you with ?
User :   no that should do it thank u
Doctor :   You are welcome
Doctor :   Thanks for consulting me
Doctor :   Bye for now
User :   thank u goodnight
Doctor :   Take care
User :   u too
Doctor :   Wish you good health
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