Antibiotic Associated Diarrhea, Clostridium Difficile Associated Diarrhea
Conditions
Brief summary
The purpose of this study is to compare the effect of enhanced probiotic (EP, Live Rx) versus placebo (PL) on the incidence of Clostridium difficile associated diarrhea (CDAD) or antibiotic associated diarrhea (AAD) in hospitalized patients initiated on antibiotics.
Interventions
Enhanced Probiotic, one packet bid until 7 days after discontinuation of antibiotic
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age or older admitted to SSH and prescribed antibiotics for an expected duration \>3 days (may include patients on antibiotics prior to admission).
Exclusion criteria
* 1\. History of chronic diarrhea illness (Irritable Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), Celiac Disease, Chronic pancreatitis 2. Diarrhea at screening 3. Active Colitis of any etiology 4. History of colectomy 5. Regular consumption of probiotics within 72 hours 6. Unable to provide written consent 7. History of or active pancreatitis 8. Severe Sepsis or Septic Shock (sepsis with end organ failure e.g. renal failure, ARDS, MS changes and or meets criteria by n ational guideline, and or requiring vasopressors) 9. Hypersensitivity to any ingredient in probiotic product 10. Severe Immunosuppression (ANC \<1000, AIDS/CD4 count \<200 cells, cancer on active chemothereapy, h/o of solid or bone marrow transplant) 12. Acute burn injuries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Clostridium difficle associated diarrhea in patients randomized to Go Live Rx compared with those randomized to placebo | 60 days after hospitalization |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of Antibiotic associated diarrhea in patients randomized to Go Live Rx compared with those randomized to placebo | 60 Days after hospitalization |