Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center

Inflammatory bowel disease (IBD) is a risk factor for C. difficile infection (CDI), which, in turn, complicates the clinical course of IBD. Fecal microbiota transplantation (FMT) is safe and effective in patients with IBD and recurrent CDI (rCDI). In our study, patients with IBD and rCDI received FM...

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Autores principales: Gianluca Ianiro, Stefano Bibbò, Serena Porcari, Carlo Romano Settanni, Federica Giambò, Andreea Roxana Curta, Gianluca Quaranta, Franco Scaldaferri, Luca Masucci, Maurizio Sanguinetti, Antonio Gasbarrini, Giovanni Cammarota
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Publicado: Taylor & Francis Group 2021
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Acceso en línea:https://doaj.org/article/bf45d0bd79d740989cc44640b8589b8b
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spelling oai:doaj.org-article:bf45d0bd79d740989cc44640b8589b8b2021-11-04T15:00:42ZFecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center1949-09761949-098410.1080/19490976.2021.1994834https://doaj.org/article/bf45d0bd79d740989cc44640b8589b8b2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/19490976.2021.1994834https://doaj.org/toc/1949-0976https://doaj.org/toc/1949-0984Inflammatory bowel disease (IBD) is a risk factor for C. difficile infection (CDI), which, in turn, complicates the clinical course of IBD. Fecal microbiota transplantation (FMT) is safe and effective in patients with IBD and recurrent CDI (rCDI). In our study, patients with IBD and rCDI received FMT by colonoscopy and were followed-up for 8 weeks. The primary outcome was negative C. difficile toxin 8 weeks after FMT. Eighteen patients with IBD were enrolled. Eight patients received sequential FMT either for pseudomembranous colitis or failure of single fecal infusion. At 8-week follow-up the C. difficile toxin was negative in 17 patients, and most (83%) experienced also improvement of IBD disease activity. Overall, we did not observe any serious adverse event. FMT appears to be highly effective and safe in patients with IBD and rCDI and is likely not only to eradicate CDI but also to improve disease activity of IBD.Gianluca IaniroStefano BibbòSerena PorcariCarlo Romano SettanniFederica GiambòAndreea Roxana CurtaGianluca QuarantaFranco ScaldaferriLuca MasucciMaurizio SanguinettiAntonio GasbarriniGiovanni CammarotaTaylor & Francis Grouparticlefecal microbiota transplantationclostridioides difficile infectioninflammatory bowel diseasegut microbiotamicrobiomeulcerative colitiscrohn’s diseaseDiseases of the digestive system. GastroenterologyRC799-869ENGut Microbes, Vol 13, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic fecal microbiota transplantation
clostridioides difficile infection
inflammatory bowel disease
gut microbiota
microbiome
ulcerative colitis
crohn’s disease
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle fecal microbiota transplantation
clostridioides difficile infection
inflammatory bowel disease
gut microbiota
microbiome
ulcerative colitis
crohn’s disease
Diseases of the digestive system. Gastroenterology
RC799-869
Gianluca Ianiro
Stefano Bibbò
Serena Porcari
Carlo Romano Settanni
Federica Giambò
Andreea Roxana Curta
Gianluca Quaranta
Franco Scaldaferri
Luca Masucci
Maurizio Sanguinetti
Antonio Gasbarrini
Giovanni Cammarota
Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center
description Inflammatory bowel disease (IBD) is a risk factor for C. difficile infection (CDI), which, in turn, complicates the clinical course of IBD. Fecal microbiota transplantation (FMT) is safe and effective in patients with IBD and recurrent CDI (rCDI). In our study, patients with IBD and rCDI received FMT by colonoscopy and were followed-up for 8 weeks. The primary outcome was negative C. difficile toxin 8 weeks after FMT. Eighteen patients with IBD were enrolled. Eight patients received sequential FMT either for pseudomembranous colitis or failure of single fecal infusion. At 8-week follow-up the C. difficile toxin was negative in 17 patients, and most (83%) experienced also improvement of IBD disease activity. Overall, we did not observe any serious adverse event. FMT appears to be highly effective and safe in patients with IBD and rCDI and is likely not only to eradicate CDI but also to improve disease activity of IBD.
format article
author Gianluca Ianiro
Stefano Bibbò
Serena Porcari
Carlo Romano Settanni
Federica Giambò
Andreea Roxana Curta
Gianluca Quaranta
Franco Scaldaferri
Luca Masucci
Maurizio Sanguinetti
Antonio Gasbarrini
Giovanni Cammarota
author_facet Gianluca Ianiro
Stefano Bibbò
Serena Porcari
Carlo Romano Settanni
Federica Giambò
Andreea Roxana Curta
Gianluca Quaranta
Franco Scaldaferri
Luca Masucci
Maurizio Sanguinetti
Antonio Gasbarrini
Giovanni Cammarota
author_sort Gianluca Ianiro
title Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center
title_short Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center
title_full Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center
title_fullStr Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center
title_full_unstemmed Fecal microbiota transplantation for recurrent C. difficile infection in patients with inflammatory bowel disease: experience of a large-volume European FMT center
title_sort fecal microbiota transplantation for recurrent c. difficile infection in patients with inflammatory bowel disease: experience of a large-volume european fmt center
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/bf45d0bd79d740989cc44640b8589b8b
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