Guide to Alternative Medicine and the Digestive System

Anil Minocha, MD FACP FACG

Chapter 49: Antibiotic- and Clostridium difficile-Associated Diarrhea (continued)

KEY POINTS Probiotics appear to be effective in preventing antibiotic-associated diarrhea (AAD). Probiotics do not have a role in acute treatment of C difficile-associated diarrhea (CDAD). Total fecal flora transplant is effective for recurrent CDAD. Hyperimmune bovine colostrum has potential for benefit in recurrent CDAD. The pathogenesis of AAD and CDAD remains to be fully elucidated, and dysbiosis has been implicated. Literature indicates that the use of proton pump indicators significantly increases the risk of CDAD.1 There is little evidence for…