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March 1986

Clostridium difficile Colitis/Diarrhea-Reply

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1986;112(3):335. doi:10.1001/archotol.1986.03780030099025

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In Reply.—We appreciate Lee and Olson's additional comments on the specific management of these four complicated cases of Clostridium difficile colitis. For 15 years prior to these cases, there had not been a single episode of C difficile colitis on this active head and neck surgery service. We wished to inform others of what we learned during the management of these cases.

Numerous patients have had problems with diarrhea related to tube feeding in the past. Current tube-feeding formulas, however, have decreased this incidence. We have altered our use of perioperative antibiotics, as explained in the article. The patients described in this study had associated postoperative problems, including purulent drainage from fistulas, which necessitated prolonged antibiotic usage.

It is interesting that there has not been a single additional episode of C difficile colitis on this service in the year and a half since these cases occurred.

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