Faecal microbiota transplantation for severe clostridium difficile infection in the intensive care unit
We describe a case of faecal microbiota transplantation (FMT) used for severe binary toxin-positive Clostridium difficile infection in an intensive care setting. The patient was admitted to the ICU of a tertiary hospital and failed traditional maximal pharmacological management. Adjunctive therapy w...
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Veröffentlicht in: | European journal of gastroenterology & hepatology 2013-02, Vol.25 (2), p.255-257 |
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creator | Trubiano, Jason A Gardiner, Bradley Kwong, Jason C Ward, Peter Testro, Adam G Charles, Patrick G.P |
description | We describe a case of faecal microbiota transplantation (FMT) used for severe binary toxin-positive Clostridium difficile infection in an intensive care setting. The patient was admitted to the ICU of a tertiary hospital and failed traditional maximal pharmacological management. Adjunctive therapy with FMT given through gastroscopy resulted in resolution of the C. difficile-related symptoms. Although there is a growing experience with FMT for recurrent C. difficile infection, published evidence in severe disease is very limited. In a landscape of increasingly severe C. difficile infection, adjunctive FMT may be considered a useful early treatment option. |
doi_str_mv | 10.1097/MEG.0b013e32835b2da9 |
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In a landscape of increasingly severe C. difficile infection, adjunctive FMT may be considered a useful early treatment option.</description><subject>Aged</subject><subject>Clostridium difficile</subject><subject>Combined Modality Therapy</subject><subject>Critical Care - methods</subject><subject>Enterocolitis, Pseudomembranous - therapy</subject><subject>Fatal Outcome</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Gastroscopy</subject><subject>Humans</subject><subject>Metagenome</subject><issn>0954-691X</issn><issn>1473-5687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFP3DAQha2qqLvQ_oMK5dhLqCd21skRrRaKtBUXkHqLxs646-Iki-2A-PeYLuXAoaeRRt97M-8x9hX4GfBWff-5uTzjmoMgUTWi1lWP7Qe2BKlEWa8a9ZEteVvLctXCrwU7jvEP56AEqE9sUQkAJRUs2e8LJIO-GJwJk3ZTwiIFHOPe45gwuWks7BSKSA8UqDB-iim43s1D0TtrnXGeCjdaMn9RNxZp97JINEb3kAWYVfPo0md2ZNFH-vI6T9jtxeZm_aPcXl9erc-3pRH1qi2hqkzDMf9kYGV5A7KxAhvV6ppLLniLFSKYvuq1VBalRtS251rlPBxIiBP27eC7D9P9TDF1g4uGfI5D0xw7qJSQteSNzKg8oDl5jIFstw9uwPDUAe9eKu5yxd37irPs9PXCrAfq30T_Os1AcwAeJ58oxDs_P1LodoQ-7f7v_QxA-40K</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Trubiano, Jason A</creator><creator>Gardiner, Bradley</creator><creator>Kwong, Jason C</creator><creator>Ward, Peter</creator><creator>Testro, Adam G</creator><creator>Charles, Patrick G.P</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201302</creationdate><title>Faecal microbiota transplantation for severe clostridium difficile infection in the intensive care unit</title><author>Trubiano, Jason A ; Gardiner, Bradley ; Kwong, Jason C ; Ward, Peter ; Testro, Adam G ; Charles, Patrick G.P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3569-122c80aaecc16f08148f3a879b5040309a2aa1cd2db47fa4baabfd0b711701e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Clostridium difficile</topic><topic>Combined Modality Therapy</topic><topic>Critical Care - methods</topic><topic>Enterocolitis, Pseudomembranous - therapy</topic><topic>Fatal Outcome</topic><topic>Feces - microbiology</topic><topic>Female</topic><topic>Gastroscopy</topic><topic>Humans</topic><topic>Metagenome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trubiano, Jason A</creatorcontrib><creatorcontrib>Gardiner, Bradley</creatorcontrib><creatorcontrib>Kwong, Jason C</creatorcontrib><creatorcontrib>Ward, Peter</creatorcontrib><creatorcontrib>Testro, Adam G</creatorcontrib><creatorcontrib>Charles, Patrick G.P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology & hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trubiano, Jason A</au><au>Gardiner, Bradley</au><au>Kwong, Jason C</au><au>Ward, Peter</au><au>Testro, Adam G</au><au>Charles, Patrick G.P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Faecal microbiota transplantation for severe clostridium difficile infection in the intensive care unit</atitle><jtitle>European journal of gastroenterology & hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2013-02</date><risdate>2013</risdate><volume>25</volume><issue>2</issue><spage>255</spage><epage>257</epage><pages>255-257</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>We describe a case of faecal microbiota transplantation (FMT) used for severe binary toxin-positive Clostridium difficile infection in an intensive care setting. 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subjects | Aged Clostridium difficile Combined Modality Therapy Critical Care - methods Enterocolitis, Pseudomembranous - therapy Fatal Outcome Feces - microbiology Female Gastroscopy Humans Metagenome |
title | Faecal microbiota transplantation for severe clostridium difficile infection in the intensive care unit |
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