A patient with necrotizing fasciitis is treated with antibiotics and debridement. He got discharged on wound recovery. Now he came back after 10 days with diarrhea and fever. The following are done except:-
History of antibiotic(staph/strep) - aminopenicillin (ampicillin / amoxycillin) After this, patients develop diarrhea and fever PSEUDOMEMBRANOUS COLITIS - DOC - Oral Vancomycin Use of antidiarrheals (e.g.,loperamideis contraindicated in all cases ofpseudomembranous enterocolitisas this may exacerbate toxin-mediated disease and precipitate toxic megacolon.
Continue same antibiotic
Stop loperamide
Oral Vancomycin is the drug of choice
Washing hands with alcohol based hand sanitizers are superior to washing hands with soap to stop the spread of diarrhea.
JIPMER 2019