Therapy of antibiotic-associated pseudomembranous colitis.

Abstract

Seven patients treated with oral cholestyramine for antibiotic-associated pseudomembranous colitis are reported. Response was variable with only one patient having a totally satisfactory clinical outcome. Five of seven patients had continued systemic signs with fever and leukocytosis throughout the course of cholestyramine. Two observations were relatively consistent. First, six of the seven patient had a decrease in the number of daily stools during therapy. Second, all patients showed persistence of the cytopathic toxin in stools obtained after three to seven days of cholestyramine therapy. Six patients who were subsequently treated with oral vancomycin had a prompt clinical improvement and clearance of the cytopathic toxin in the stool.

• Authors: F J Tedesco, J Napier, W Gamble, T W Chang, J G Bartlett
• Journal: Journal of clinical gastroenterology (J Clin Gastroenterol) Vol. 1 Issue 1 Pg. 51-4 (Mar 1979) ISSN: 0192-0790 [Print] United States
• PMID: 263131 (Publication Type: Case Reports, Comparative Study, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Bacterial Toxins
• Cholestyramine Resin
• Vancomycin

Topics

• Aged
• Anti-Bacterial Agents (adverse effects)
• Bacterial Toxins (analysis)
• Cholestyramine Resin (therapeutic use)
• Clostridium (isolation & purification)
• Clostridium Infections (drug therapy)
• Colon (microbiology)
• Enterocolitis, Pseudomembranous (chemically induced, drug therapy, microbiology)
• Feces (analysis)
• Female
• Humans
• Male
• Retrospective Studies
• Vancomycin (therapeutic use)