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A combination antibiotic therapy used primarily for treating Clostridioides difficile infection (CDI), particularly in severe or fulminant cases. The combination typically consists of oral vancomycin and intravenous metronidazole. While vancomycin acts by inhibiting bacterial cell wall synthesis, metronidazole disrupts DNA in anaerobic bacteria. This combination is often recommended for critically ill patients with CDI, though evidence regarding its superiority over monotherapy is mixed.
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