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vancomycin + amoxicillin + doxycycline is a triple-antibiotic combination regimen investigated by the Shaare Zedek Medical Center for the treatment of acute severe ulcerative colitis and Crohn's colitis. The therapy aims to induce clinical remission by targeting dysbiosis and manipulating the gut microbiome. In clinical trials, this regimen is administered orally alongside standard corticosteroid therapy. The combination provides broad-spectrum coverage, with vancomycin and amoxicillin targeting bacterial cell wall synthesis and doxycycline (or ciprofloxacin in pediatric cases) targeting protein synthesis, thereby reducing the microbial triggers of intestinal inflammation. This approach is based on the hypothesis that specific bacterial populations contribute to the etiology and exacerbation of inflammatory bowel disease (IBD).
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