Faecal microbiota transplantation in Clostridioides difficile infection: real-life experience from an academic Italian hospital
| Autor: | Cesare Casadei, Davide Massimi, Fabio Farinati, Fabiana Zingone, Renata D'Incà, Edoardo Savarino, Matteo Ghisa, Andrea Quagliariello, Edoardo Mele, Brigida Barberio, Sonia Facchin, Giacomo Carlo Sturniolo |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry Gastroenterology Clostridioides difficile infection faecal microbiota transplantation Faecal microbiota transplantation 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Refractory Internal medicine medicine lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Prospects and Challenges into the Role of Gut Microbiome in Health and Disease Original Article lcsh:RC799-869 business Clostridioides |
| Zdroj: | Therapeutic Advances in Gastroenterology Therapeutic Advances in Gastroenterology, Vol 13 (2020) |
| ISSN: | 1756-2848 1756-283X |
| Popis: | Background: Faecal microbiota transplantation (FMT) is a reasonable therapeutic option for the treatment of Clostridioides difficile infection (CDI) recurrent and refractory (RCDI) to therapy, but little evidence on the long-term impact of this therapy is currently available in the literature. The aim of this study was to evaluate the efficacy and safety of FMT in recurrent and refractory CDI and the modifications of the recipient’s gut microbiota in the medium–long term. Methods: This prospective study collects the clinical and laboratory data of RCDI patients treated with FMT by colonoscopy from February 2016 to October 2019. Stool samples for metagenomic analysis were collected pre-FMT at 1 week and at 6 and 12–24 months post-FMT. Results: In the study period, 20 FMT procedures were performed on 19 patients. Overall, FMT was effective in 85% of treated patients. No serious adverse event was recorded. In the medium- to long-term follow up, a newly diagnosed case of collagenous colitis was observed. Post-FMT, significant changes in microbiota were observed, characterised by the transition from a low- to a greater-diversity profile. Therefore, FMT restores eubiosis and maintains it over time. Conclusion: FMT is a safe and effective treatment option in RCDI patients. This procedure induces profound microbiota changes that explain its high clinical efficacy. |
| Databáze: | OpenAIRE |
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