Metronidazole

Clostridium Difficile: A Ruthless Invader Clostridium difficile (C. difficile) is a pervasive and troublesome bacterium in healthcare. If left untreated it can lead to a plethora of complications—acute, chronic, and even fatal. C. difficile is a gram positive bacillus (with a capsule) and has ideal conditions for growth at around 37°C in an obligate anaerobic environment. In its vegetative state, C. difficile contains multiple flagella for motility within the intestinal tract; 1 however, once

Clostridium difficile or more commonly called C. difficile or C. diff is a spore producing rod shaped bacterium that can cause infections of which result in a broad spectrum of disease ranging from mild diarrhea and fever to pseudomembranous colitis and life threating inflammation of the colon. C. difficile commonly located in the feces of humans and is spread though spores. Over the last 20 years the prevalence of healthcare-associated C. difficile infection (CDI) has increased to an estimated prevalence

Good hygiene, symptom management, and supportive therapies need to be considered for all the DDx. Specifically: Vaginitis – BV: metronidazole (Flagyl) PO or clindamycin (Cleocin) vaginal cream; Candida: OTC antifungals such as miconazole (Monistat 1) and fluconazole (Diflucan) PO. Trichomonias.: metronidazole (Flagyl) or tinidazole (Tindamax) PO Cervicitis – based on the risk factors of the patient, empiric therapy coverage for chlamydia and/or gonorrhea is recommended

Introduction Clostridium difficile is a gram positive, anaerobic, spore forming bacillus. In 1935 it was first described as member of the intestinal flora in healthy neonates [1] , and then in 1978 it was recognised as a cause of diarrhoea [2]. Today it is widely acknowledged as the leading cause of hospital-acquired diarrhoea. This organism can cause a variety of diseases, from mild diarrhoea to severe pseudomembranous colitis, and collectively these are known as C. difficile infections (CDIs)

Introduction Red face is the most common presentation in my practice, particularly among middle age females. My multidisciplinary practice is residing in an urban population of Dundas, Canada, where the population is comprised of mostly middle and upper middle class Caucasians. The prevalence of rosacea is high among my patients and sometimes it presents in combination with other the skin conditions especially among males such as seborrheic dermatitis. As rosacea is considered a life long skin disease

Question 1 The appendix is a small pouch, which is an extension of the large bowel and is attached to the large intestine, at the juncture of small intestine (Bollinger, Barbas, Bush, Lin, & Parker, 2007). Many researchers and scientists presume that the appendix no longer serve a function. However, more recent researchers stated that appendix plays a vital function such as produce and storage of good bacterial, in the development of the immune system (Bollinger, Barbas, Bush, Lin, & Parker, 2007)

Is Eradicating a Reoccurring Clostridium difficle Infection via Fecal Transplantation more effective than an additional course of first line Vancomycin and Metronidazole antibiotic treatment?: A Literature Review Marissa A. Burgess Stephens College Master of Physician Assistant studies Introduction Clostridium difficle is an opportunistic bacterium that can overgrow in immunocompromised individuals and become a difficult condition to manage. Clostridium difficle Colitis remains challenging

regimens. Most H. pylori eradication therapies involve a proton pump inhibitor (PPI) and a combination of two or more antibiotics (NIH, 1994). The most commonly used antibiotics are macrolides (clarithromycin (CAM) or azithromycin), imidazole (metronidazole (MET) or tinidazole), amoxicillin (AMX) and tetracycline (TCN) (Vale et al., 2011). First line triple therapy In patients who have not previously been treated for H. pylori, the standard first line treatment for H. pylori infection is a combination

Choice “C” is the best answer. This patient has no abscesses or fluctulant nodules. He would fit with into Hurley stage 1. Therefore, medical management is recommended at this stage of HD. Surgery should be performed as early as possible after the formation of abscesses, fistulas, scars, and sinus tracts. Initial treatment may include the following: local hygiene and ordinary hygiene, weight reduction in patients who are obese, use of ordinary soaps and antiseptic and antiperspirant agents (e.g.

antibacterial treatments with oral/intravenous metronidazole, and oral/nasogastric tube vancomycin (depending on the severity), supplying the patient with electrolyte support and fluid, or surgery if there is toxic megacolon.2,6 Patients that are suffering from recurrent CDI may find fidaxomicin.6 Vancomycin has the ability to stop the crosslinking of peptidoglycan in the recently produced bacterial cells, essentially inhibiting cell wall production, while metronidazole affects the DNA replication.7 Although