Re: C. Diff toxin positive and group B strep +ve.

From: Joe (forcep@intercom.net)
Tue Dec 18 14:13:16 2007


Does the C diff toxin irritate the uterus like E. Coli toxin does? Concern for premature labor? Joe C

Meenan, Anna wrote:

> A less-expensive alternative for treating the c.diff would be
> metronidazole, 500 TID. If you use vanco, Epocrates ID says 125 QID is
> adequate, and probably a whole lot less expensive also. According to
> epocrates, Vanco 500 QID X 10 d would run over $2000 (no pricing info
> for the generic though, so maybe you could get by with less than that.)
> 125 QID X 10 d. would run just over $400.
>
> I think you could get the generic metronidazole at Wal-mart in their $4
> deal.
>
> Anna Meenan, MD
>
>> 20 y.o. primip, 37 wks, one month history of diarrhea, at one point
>> almost lost ten pounds. Well her stools came back positive for C. Diff
>> toxin and guess what her group B strep swab is +ve. I am leaning on
>> using Vancomycin 1 gram I.V. Q12hrs for the group B when in labor and
>> Vancomycin 500mg p.o. QID for the C. Diff. Anybody got any better
>> ideas.
>>
>> --
>> Take care, John
>





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