Fidaxomicin for Clostridium difficile Infection.
نویسندگان
چکیده
To the Editor: In their randomized study comparing fidaxomicin with vancomycin for Clostridium difficile infection, Louie et al. (Feb. 3 issue)1 found that substantially fewer patients in the fidaxomicin group had recurrences of C. difficile infection within 4 weeks after the conclusion of treatment. We recently reported on an observational study involving U.S. veterans in which the recurrence of C. difficile infection within 90 days was significantly reduced in patients who did not receive proton-pump inhibitors (PPIs) as compared with those who received PPIs concurrent with treatment for C. difficile infection, independent of the treatment regimen for C. difficile infection.2 Other observational studies have shown associations of PPI use with an increased risk of recurrent C. difficile infection3 and use of gastric acid suppressants with an increased risk of recurrent pseudomembranous colitis.4 In the trial reported on by Louie et al., we expect that randomization effectively equalized the distribution of PPI users between treatment groups, but it would be of interest and potential clinical importance to know whether there were any betweengroup differences in PPI use and whether the investigators found any potential effect modification between PPI use and either antibiotic treatment regimen for C. difficile infection on the rate of recurrent C. difficile infection.
منابع مشابه
Fidaxomicin (Dificid) for Clostridium difficile infection.
Volume 87, Number 3 www.aafp.org/afp American Family Physician 211 Fidaxomicin (Dificid) is an oral macrolide antibiotic labeled for the treatment of Clostridium difficile–associated diarrhea in adults. It primarily exhibits activity against species of clostridia, mainly C. difficile, while having no or limited activity against normal gastrointestinal flora. It joins the standard treatments of ...
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OBJECTIVES SMT19969 is a novel narrow-spectrum antimicrobial under development for the treatment of Clostridium difficile infection (CDI). The objectives were to assess the relative efficacies of SMT19969, vancomycin and fidaxomicin in the hamster model of CDI. METHODS Hamsters were infected with either C. difficile BI1 (ribotype 027) or C. difficile 630 (ribotype 012) prior to treatment with...
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Fidaxomicin is a novel macrocyclic antibiotic recently approved by the US Food and Drug Administration for the treatment of Clostridium difficile-associated diarrhea in adults. We reviewed safety data from nonclinical studies and clinical trials (phases 1, 2A, and 3) with fidaxomicin. In nonclinical studies, fidaxomicin was administered orally at approximately 1 g/kg/d to dogs for up to 3 month...
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ورودعنوان ژورنال:
- The New England journal of medicine
دوره 364 19 شماره
صفحات -
تاریخ انتشار 2011