Outcome of Clostridioides difficile infections treated in a Swiss tertiary care hospital: an observational study
Author(s) -
Sebastian Haubitz,
Nicole Bartlom,
Evelin Bucheli Laffer,
Constanze Spelters,
Hans Fankhauser,
Christoph Andreas Fux
Publication year - 2020
Publication title -
schweizerische medizinische wochenschrift
Language(s) - English
Resource type - Journals
ISSN - 0036-7672
DOI - 10.4414/smw.2020.20173
Subject(s) - medicine , metronidazole , interquartile range , epidemiology , retrospective cohort study , mortality rate , antibiotics , surgery , microbiology and biotechnology , biology
The high 60-day mortality suggests that CDI is a strong indicator of frailty. Metronidazole was associated with low recurrence rates at minimal costs in patients with uncomplicated CDI, but had relevant shortcomings in patients with severe CDI and/or a high risk of recurrence, suggesting that these vulnerable patients might better be treated with oral vancomycin and fidaxomicin, according to the latest guidelines.  .
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