#EMConf: Management of C.Diff

Initial Episode:

  • Vancomycin PO
  • Fidaxomicin PO (has been shown to decrease recurrence rate but extremely expensive)
  • Flagyl is out

Recurrent Episode:

  • Vancomycin that is prolonged dose and pulsed
  • Fidaxomicin

Second Recurrent Episode:

  • Vancomycin that is prolonged dose and pulsed
  • Fidaxomicin
  • Fecal Transplant