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Guidelines
Pathogens
Antimicrobials
Clostridium difficile
More than 3 watery, loose, or unformed stools within 24 hours; lab findings may include leukocytosis and elevated creatinine
Rare < 2yrs age; up to 40% of children <1yr test positive
Recent antibiotic use, especially broad spectrum agents
If Clostridium difficile is suspected, order the C. difficile toxin assay
See Antibiotic Associated Colitis and IWK Pediatric Clostridium Difficile Guidelines on Antimicrobial Stewardship website on Pulse
Discontinue antibiotics if possible
Metronidazole x 10-14 days
OR
Vancomycin x 10-14 days