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CHAPTER 50 Miscellaneous Antimicrobial Agents; Disinfectants, Antiseptics, & Sterilants 903
C ASE STUD Y ANSWER
The patient may be treated with oral metronidazole, treatment for C. difficile infection, but it is more expen-
which is an appropriate drug for mild to moderate cases sive than other first-line medications. The room should
of C difficile infection. Oral vancomycin is also a reason- be cleaned with a bleach solution (5000 ppm) because it
able alternative and is the preferred treatment for severe is sporicidal. Other sporicidal disinfectants also may be
cases and for older patients. Fidaxomicin is an effective effective.
