Low risk for C. Diff: Rifaximin is a semisynthetic antibiotic based on rifamycin, which has a broad spectrum. After initial decrease in the GI flora (enterococcus, escherichia coli, lactobacillus, bacteroides and clostridium perfringens), normalization is seen after 1 month. In one study of 211 patients given Rifaximin chronically for 8 months, no patient tested positive for c. Difficle, but the possibility exists.
Answered 7/1/2014
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