Nitazoxanide is active against Clostridium difficile strains with reduced susceptibility to metronidazole

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Emergence of reduced susceptibility to metronidazole in Clostridium difficile.

OBJECTIVES Antimicrobial treatment for Clostridium difficile infection (CDI) has typically been metronidazole, although reports have questioned the efficacy of this option. We screened recently isolated C. difficile (2005-06) for susceptibility to metronidazole and compared results for historic isolates (1995-2001). METHODS C. difficile ribotypes 001 (n = 86), 106 (n = 81) and 027 (n = 48) an...

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OBJECTIVES Clostridium difficile-associated disease has increased in incidence and severity. Recommended treatments include metronidazole and vancomycin. Recent investigations, however, document the failure of metronidazole to cure a substantial proportion of patients with Clostridium difficile colitis, but oral administration of vancomycin raises concerns over selection of antibiotic-resistant...

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ژورنال

عنوان ژورنال: Journal of Antimicrobial Chemotherapy

سال: 2011

ISSN: 0305-7453,1460-2091

DOI: 10.1093/jac/dkr077