Going home tonight with the PICC and 1,500 mg IV vanco 3x's daily until Jan 17. C. Diff shouldn't be a problem (?!) but I suppose he should start some expensive, not-covered VSL?
I would wait until after the vanco is completed. It may well just trash whatever you give. I'd go with something cheap in the meantime, if you feel you need to, like maybe Culturelle or whatever...Did his docs have any recommendations in that regard?
No, we're dealing with orthopods and ID docs, so I dont think GI is in their job description. After sounds good. Maybe it won't have any noticeable GI effect, anyway?
It may, but at least C. diff shouldn't run amok. My thinking was that it would probably wipe out the VSL along with everything else, so why just throw it away?
If you feel like you should be proactive, how about S. boulardii (probiotic yeast used for C. diff control). It is often given with Flagyl or Vancomycin. Plus, it is cheap!
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