Antibiotic-associated colitis was diagnosed in 23 orthopaedic patients
: 17 had abdominal symptoms, 3 had a fever and the remaining 3 had no
symptoms but increasing C-reactive protein values or white blood count
. The antibiotic was clindamycin in 19, cephalosporins in 3 and a comb
ination of vancomycin and fusidic acid intravenously in one. The antib
iotics were stopped in 12, changed in 5 and continued in the remaining
5. Oral treatment for colitis was given in 21 patients, and in one pa
tient the only treatment was stopping the antibiotics. One patient die
d after a myocardial infarct; the remaining 22 were discharged after s
uccessful treatment of their primary condition and the colitis.