Second or Subsequent Recurrent Episode

Consult

Pharmacist Consult to pre-arrange outpatient medication coverage

First Line

THEN

Rifaximin 550mg PO BID x 20 days

Second Line

If not used for previous episode

Clinical Information

May use diluted IV vancomycin PO or NG if needed as it is difficult to remove powder from capsules (reconstitute 500 mg vial as per directions and then further dilute in 30 mLs of water prior to administration)

Recommended for patients with multiple recurrences of CDI whose conditions have failed appropriate antibiotic treatments