Question 169 · LEK · Clostridioides difficile infection and pseudomembranous colitis

Indicate the true statement on the treatment of first episode of mild pseudomembranous colitis:

  1. A. first choice treatment is metronidazole and/or vancomycin, administered i.v.
  2. B. first choice treatment is metronidazole or vancomycin, administered orally.
  3. C. treatment should be started from pulses of vancomycin (10 times every third day, for 27 days).
  4. D. treatment should always include the proton pump inhibitor.
  5. E. first choice medicament is clindamycin.
Hint

Consider where C. difficile and its toxins are located and which route of administration actually delivers the drug to the colonic lumen.

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