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Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review

Clostridioides difficile (C. difficile) is a gram-positive, anaerobic, spore-forming bacterium that produces toxins A and B, disrupting the intestinal brush border and resulting in severe diarrhea. The most common causes of infection include prolonged antibiotic use, proton pump inhibitors (PPIs), a...

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Autores principales: Ramesh, Adarsh Srinivas, Munoz Tello, Carlos, Jamil, Dawood, Tran, Hadrian Hoang-Vu, Mansoor, Mafaz, Butt, Samia Rauf, Satnarine, Travis, Ratna, Pranuthi, Sarker, Aditi, Khan, Safeera
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9506672/
https://www.ncbi.nlm.nih.gov/pubmed/36168377
http://dx.doi.org/10.7759/cureus.28402
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author Ramesh, Adarsh Srinivas
Munoz Tello, Carlos
Jamil, Dawood
Tran, Hadrian Hoang-Vu
Mansoor, Mafaz
Butt, Samia Rauf
Satnarine, Travis
Ratna, Pranuthi
Sarker, Aditi
Khan, Safeera
author_facet Ramesh, Adarsh Srinivas
Munoz Tello, Carlos
Jamil, Dawood
Tran, Hadrian Hoang-Vu
Mansoor, Mafaz
Butt, Samia Rauf
Satnarine, Travis
Ratna, Pranuthi
Sarker, Aditi
Khan, Safeera
author_sort Ramesh, Adarsh Srinivas
collection PubMed
description Clostridioides difficile (C. difficile) is a gram-positive, anaerobic, spore-forming bacterium that produces toxins A and B, disrupting the intestinal brush border and resulting in severe diarrhea. The most common causes of infection include prolonged antibiotic use, proton pump inhibitors (PPIs), and long-term hospitalization resulting in complications such as pseudomembranous colitis and toxic megacolon. This systematic review aims to consider fecal microbiota transplantation (FMT) as an early treatment modality in C. difficile infection to prevent complications and reduce related morbidity and mortality. We systematically screened three databases using regular keywords such as “fecal microbiota transplantation,” “C. difficile,” “pseudomembranous colitis,” and “toxic megacolon” and Medical Subject Headings (MeSH) terms. We applied the inclusion and exclusion criteria and performed a thorough quality appraisal using standardized checklists. We were finally left with 10 articles, including seven case reports, one case series, and two observational studies. Questions remain as to the route of administration of FMT, timing, safety, availability, and the number of sittings required. More randomized controlled trials are needed to address all these questions and to assess the safety of FMT. We believe the role of FMT is very important as it can prevent C. difficile related complications and would be an ideal treatment option in a population group that is often unfit for surgical management.
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spelling pubmed-95066722022-09-26 Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review Ramesh, Adarsh Srinivas Munoz Tello, Carlos Jamil, Dawood Tran, Hadrian Hoang-Vu Mansoor, Mafaz Butt, Samia Rauf Satnarine, Travis Ratna, Pranuthi Sarker, Aditi Khan, Safeera Cureus Internal Medicine Clostridioides difficile (C. difficile) is a gram-positive, anaerobic, spore-forming bacterium that produces toxins A and B, disrupting the intestinal brush border and resulting in severe diarrhea. The most common causes of infection include prolonged antibiotic use, proton pump inhibitors (PPIs), and long-term hospitalization resulting in complications such as pseudomembranous colitis and toxic megacolon. This systematic review aims to consider fecal microbiota transplantation (FMT) as an early treatment modality in C. difficile infection to prevent complications and reduce related morbidity and mortality. We systematically screened three databases using regular keywords such as “fecal microbiota transplantation,” “C. difficile,” “pseudomembranous colitis,” and “toxic megacolon” and Medical Subject Headings (MeSH) terms. We applied the inclusion and exclusion criteria and performed a thorough quality appraisal using standardized checklists. We were finally left with 10 articles, including seven case reports, one case series, and two observational studies. Questions remain as to the route of administration of FMT, timing, safety, availability, and the number of sittings required. More randomized controlled trials are needed to address all these questions and to assess the safety of FMT. We believe the role of FMT is very important as it can prevent C. difficile related complications and would be an ideal treatment option in a population group that is often unfit for surgical management. Cureus 2022-08-25 /pmc/articles/PMC9506672/ /pubmed/36168377 http://dx.doi.org/10.7759/cureus.28402 Text en Copyright © 2022, Ramesh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Ramesh, Adarsh Srinivas
Munoz Tello, Carlos
Jamil, Dawood
Tran, Hadrian Hoang-Vu
Mansoor, Mafaz
Butt, Samia Rauf
Satnarine, Travis
Ratna, Pranuthi
Sarker, Aditi
Khan, Safeera
Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review
title Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review
title_full Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review
title_fullStr Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review
title_full_unstemmed Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review
title_short Role of Fecal Microbiota Transplantation in Reducing Clostridioides difficile Infection-Associated Morbidity and Mortality: A Systematic Review
title_sort role of fecal microbiota transplantation in reducing clostridioides difficile infection-associated morbidity and mortality: a systematic review
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9506672/
https://www.ncbi.nlm.nih.gov/pubmed/36168377
http://dx.doi.org/10.7759/cureus.28402
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