FIELD: medicine; coloproctology.
SUBSTANCE: invention can be used in treating patients with severe pseudomembranous colitis. Prognostic scale ATLAS is used to assess the ineffectiveness of the drug therapy, and if score is 4–6 points, a therapeutic suspended ileostomy is formed. Catheter for administering drug solutions is delivered through the discharge loop of the ileostomy into the lumen of the colon. 125–250 g of Vancomycin, 500–1,000 mg of Metronidazole, 200–220 mg of Fidaxomicin in 500 ml of normal saline 2 times day for 10 days, 100–120 mg of Rebamipide in 500 ml of normal saline 2 times day for 10 days. Time between introduction of the first and second solutions is 6 hours.
EFFECT: method provides higher clinical effectiveness in the patients with severe pseudomembranous colitis, prevents recurrent clostridial infection by modifying the ileostomy and expanding the capabilities of the drug therapy.
1 cl, 3 ex
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Authors
Dates
2024-10-30—Published
2024-01-17—Filed