Cited by 24Clostridium difficile and Clostridium perfringens researchGut microbiota and healthGastrointestinal motility and disorders

Fecal microbiota transplantation in recurrent Clostridium difficile infection: A retrospective single‐center chart review

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Kim, Pamela, Gadani, Akash, Abdul‐Baki, Heitham, Mitre, Ricardo, Mitre, Marcia·2019·JGH Open

Abstract

Background and Aim Fecal microbiota transplantation (FMT) has been proposed as a treatment option for patients with recurrent Clostridium difficile (C. difficile) infection but remains a novel option. We examined if FMT is an effective means of treating recurrent C. difficile infection. Methods A retrospective review of 35 patients who underwent FMT was completed. Demographics and other variables, including the use of proton pump inhibitor therapy and history of inflammatory bowel disease, were collected. Results Twenty‐five patients (71.4%) belonged to a high‐risk population (working in a hospital setting, rehabilitation center, or nursing facility) and a total of 74.3% of patients (n = 26 patients) had no history of proton pump inhibitor use. Twenty‐five patients (71.4%) had used metronidazole prior to transplantation, 35 patients (100%) had used vancomycin, and 7 patients (20%) had used fidaxomicin for prior infection. Four patients (11.4%) had used all three antibiotics during prior treatment. Of the eight patients who had a history of inflammatory bowel disease, six (75%) experienced resolution of symptoms after transplantation. A total of 30 patients (85.7%) had resolution of their symptoms 6–8 weeks’ posttransplant, while 5 patients (14.3%) continued to have symptoms. Conclusions Our retrospective chart review supports that patients benefit from FMT in the setting of recurrent C. difficile infection.

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  • Fecal microbiota transplantation from healthy hosts is positively correlated with disease reversal, especially those stemming from gut barrier dysfunction like IBD, IBS, celiac disease, and Clostridium difficile infections.

    “Studies have revealed that fecal microbiota transplantation (FMT) from healthy hosts are positively correlated with disease reversal, especially those stemming from gut barrier dysfunction like IBD, IBS, celiac disease, and Clostridium difficile infections.19,20”

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Authors
Kim, P., Gadani, A., Abdul‐Baki, H., Mitre, R., & Mitre, M.
Affiliations
  • Allegheny General Hospital (US)
  • Department of Internal Medicine and Division of Gastroenterology and Hepatology Allegheny General Hospital Pittsburgh Pennsylvania United States of America
Corresponding author
Kim, Pamela
Venue
JGH Open
Publisher
Wiley
Published
2018-10-15
Volume
3
Issue
1
Pages
4-9
ISSN
2397-9070 (ISSN-L)
OpenAlex
W2897804844
Cited by
24
References
22
Citations by year
2025: 1 · 2024: 7 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 6
FWCI
2.27
Type
journal article
Language
en
Open access
Locations
  • JGH Open (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
fecal microbiota transplantation, recurrent Clostridium difficile infection, metronidazole, vancomycin, fidaxomicin, inflammatory bowel disease, proton pump inhibitors, high-risk patients, nursing home residents, rehabilitation center patients, treatment efficacy

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