CORRECT ANSWER:
A) Clindamycin

MORE INFO:

• Clindamycin is more likely to cause c-diff than the other antibiotics listed here.
• Flagyl is actually used to treat clostridium difficile aka c-diff.
• Vancomycin also used to treat, but has to be PO not IV
• Sulfonamides (bactrim), trimethroprim, and macrolides, occasionally cause c-diff, but not as often as fluroquinolones, clindamycin, PCN, and cephalosporins.
• Aminoglycosides and tetracyclines rarely cause c-diff.
• Clindmaycin is notorious for causing c-diff.
• Taking probiotics with any antibiotic is extremely helpful when trying to prevent c-diff. Note that when c-diff is related to antibiotic use, signs and symptoms of c-diff usually develop within 10 days after antibiotic use.
• When an individual has severe c-diff they can have 10-15+ watery stools a day, abdominal cramping, fever, and dehydration (2)

Reference:

1. Up to date-Patient education: Antibiotic-associated diarrhea caused by Clostridium difficile (Beyond the Basics)
2. Mayo Clinic C. difficile Infection https://www.mayoclinic.org/diseases-conditions/c-difficile/symptoms-causes/syc-20351691

DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information.