2014, Number 1
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Gac Med Mex 2014; 150 (1)
Successful home-made fecal transplant for an elderly woman
Halabe CJ, Hoyo UI
Language: Spanish
References: 10
Page: 106-107
PDF size: 198.70 Kb.
ABSTRACT
Recurrent clostridium difficile infection (CDI) is a challenge for infectious disease specialists. A third of first recurrences
will fail antibiotic therapy1. Several mechanisms have been proposed to explain this, such as persistence of spores,
inadequate antibody response, and altered gut microbiota2-4. Standard recommendations for CDI treatment include
metronidazole and vancomycin5. Fecal transplant has proven to be an effective therapy for recurrent CDI. Infusion
of stools can be administered to the upper or lower gastrointestinal tract during an endoscopic procedure or using
nasogastric/duodenal or rectal tubes6-9. Elderly persons have an increased incidence of recurrent infection and have a
higher mortality rate10.
We propose a home-based delivery method using a 5 ml syringe for intrarectal infusion of stools.
REFERENCES
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Chang JY, Antonopoulos DA, Kalra A, et al. Decreased diversity of the fecal Microbiome in recurrent Clostridium difficile-associated diarrhea. J Infect Dis. 2008;197:3:435-8.
Walters BA, Roberts R, Stafford R, Seneviratne E. Relapse of antibiotic associated colitis: endogenous persistence of Clostridium difficile during vancomycin therapy. Gut. 1983;24:3:206-12.
Cohen S, Gerding D, Johnson S, et al. Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol. 2010;31:5:431-55.
Van Nood E, Vrieza A, Nieuwdorp M, et al. Duodenal Infusion of donor feces for recurrent clostridium difficile. N Engl J Med. 2013;368: 5:407-15.
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Simor AE. Diagnosis, management, and prevention of clostridium difficile infection in long-term care facilities: a review. J Am Geriatr Soc. 2010;58: 1556-64.