Fidaxomicin for Clostridioides difficile infection in patients with inflammatory bowel disease: a multicenter retrospective cohort study - Takeaways - MDSpire

Fidaxomicin for Clostridioides difficile infection in patients with inflammatory bowel disease: a multicenter retrospective cohort study

  • By

  • Daniele Noviello

  • María Chaparro

  • Chiara Viganò

  • Andreas Blesl

  • Brigida Barberio

  • Henit Yanai

  • Ambrogio Orlando

  • Rocío Ferreiro-Iglesias

  • Cristina Bezzio

  • Alessandra Zilli

  • Tamás Molnár

  • Cristian Gheorghe

  • Francesco Conforti

  • Tommaso Innocenti

  • Simone Saibeni

  • Peter Bossuyt

  • Raquel Oliveira

  • Anna Maria Carvalhas Gabrielli

  • Alessandra Losco

  • Sophie Vieujean

  • Enrico Tettoni

  • Lorena Pirola

  • Silvia Calderone

  • Maya Kornowski Cohen

  • Gabriele Dragoni

  • Timo Rath

  • Manuel Barreiro-de Acosta

  • Edoardo Vincenzo Savarino

  • Javier P Gisbert

  • Maurizio Vecchi

  • Raja Atreya

  • Flavio Caprioli

  • April 1, 2025

  • 0 min

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  • 1

    Fidaxomicin demonstrated a 10% CDI recurrence rate at 8 weeks and an 82% sustained response rate at 12 weeks in IBD patients.

  • 2

    Patients experiencing their first CDI episode had a lower recurrence rate (4.3%) compared to those with previous episodes (16%).

  • 3

    IBD therapy escalation was required in 48% of patients, with a numerically lower need in those achieving sustained response within 30 days.

  • 4

    Five patients with ulcerative colitis underwent colectomy, and one death unrelated to CDI or IBD was reported.

  • 5

    Fidaxomicin was found to be effective and safe for treating CDI in IBD patients, particularly benefiting those who were CDI-naïve.

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