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antibiotics and probiotics

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I work at a 120 bed facility - 60 beds are long term care and 60 beds are

sub-acute/rehab beds. Our medical staff just approved a Probiotic/C-Diff

protocol that I wroting, referrencing the Nutritional Management of C-Dff in

LTC from the CDHCF Spring 2007 newsletter. I have a new protocol they wish

for me to pursue. That is probiotics in antibiotic therapy. We have seen

an increase of diarrhea with the use of Avelox especially. Does anyone have

a protocol they are following for residents who are receiving antiobiotics?

We also have several IV antibiotic residents and therefore IV's of Vanomycin

is not unusal. I would hate to re-invent the wheel if someone has this

already developed.

Thank you...

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