Antibiotic-associated diarrhea (AAD) is a common complication of antibiotic
s and recent findings on the epidemiology, etiologies and treatment strateg
ies are reviewed. Rates of AAD vary from 5 to 39% depending upon the specif
ic type of antibiotic. The severity of AAD may include uncomplicated diarrh
ea, colitis or pseudomembranous colitis. The pathogenesis of AAD may be med
iated through the disruption of the normal flora and overgrowth of pathogen
s or through metabolic imbalances. The impact of AAD is reflected by increa
sed hospital stays, higher medical costs and increased rates of comorbidity
. The key to decreasing these consequences is prompt diagnosis followed by
effective treatment and institution of control measures.