BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39199.505486.791 (Published 03 May 2007) Cite this as: BMJ 2007;334:960

Recurrence of diarrhoea occurs in as many as 25% of patients after the successful resolution of Clostridium difficile infection. One strategy for breaking the cycle is described in Clinical Infectious Diseases (2007;44:846-8, doi: 10.1086/511870). Eight women who had each experienced 4-8 episodes of diarrhoea associated with C difficile were given a two week course of refaximin when asymptomatic after completing their last course of vancomycin (the antibiotic used to treat C difficile). Seven out of the eight had no further recurrence of diarrhoea.

A UK breastfeeding manifesto is to be launched on 16 May 2007 (www.breastfeedingmanifesto.org.uk). Acting on this manifesto would, it is hoped, help reduce inequalities in health, improve the health of the nation, and save the NHS money while ensuring that the UK government fulfils its existing commitments to women. Campaigners say that if all babies …

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