Most virulent strain of C. Diff
NAP-1/027
Risk factors for C. Diff
Antibiotic use (especially those combos of clindamycin, penicillin, cephalosporins, fluroquinolones), hospitalization, Increased age,
Drug of choice in mild C Diff
Metronidazole
AE of metronisdazole?
Causes neuropathy, not good for pregnancy (crosses placenta and into breast milk)
Vancomycin is the drug of choice for what kind of C Diff
Severe or recurrent. May also be given to pregnant pts. Can be given rectally.
Fidaxomycin
Really expensive but its awesome because it leaves the normal flora intact, minimal systemitization, Better than vanc