Fecal Microbiota Transplantation for Clostridioides Difficile Infection in Patients with Chronic Liver Disease.


Journal

International journal of hepatology
ISSN: 2090-3448
Titre abrégé: Int J Hepatol
Pays: United States
ID NLM: 101564967

Informations de publication

Date de publication:
2020
Historique:
received: 08 05 2019
revised: 22 12 2019
accepted: 17 01 2020
entrez: 13 2 2020
pubmed: 13 2 2020
medline: 13 2 2020
Statut: epublish

Résumé

Fecal microbiota transplantation (FMT) is a well-established therapeutic option for patients with antibiotic resistant We studied the effect of FMT on chronic liver disease (CLD) patients with CDI at our tertiary medical center. A cohort of all patients who received FMT from December 2012 to May 2014 for refractory or recurrent CDI was identified. Patients were monitored for a year after FMT. Descriptive analysis was conducted to compare the effect of FMT in patients with and without CLD. A total of 201 patients with CDI received FMT, 14 of which had a history of CLD. Nine of these patients exhibited cirrhosis of the liver with a mean Child-Turcotte-Pugh score of 8. CDI development in these patients was associated with recent exposure to antibiotics and was observed to be significantly different between both groups (17% of CLD patients vs. 58% in the general cohort, FMT is a safe and effective therapy against CDI for patients with CLD and cirrhosis.

Sections du résumé

BACKGROUND BACKGROUND
Fecal microbiota transplantation (FMT) is a well-established therapeutic option for patients with antibiotic resistant
AIMS OBJECTIVE
We studied the effect of FMT on chronic liver disease (CLD) patients with CDI at our tertiary medical center.
METHODS METHODS
A cohort of all patients who received FMT from December 2012 to May 2014 for refractory or recurrent CDI was identified. Patients were monitored for a year after FMT. Descriptive analysis was conducted to compare the effect of FMT in patients with and without CLD.
RESULTS RESULTS
A total of 201 patients with CDI received FMT, 14 of which had a history of CLD. Nine of these patients exhibited cirrhosis of the liver with a mean Child-Turcotte-Pugh score of 8. CDI development in these patients was associated with recent exposure to antibiotics and was observed to be significantly different between both groups (17% of CLD patients vs. 58% in the general cohort,
CONCLUSION CONCLUSIONS
FMT is a safe and effective therapy against CDI for patients with CLD and cirrhosis.

Identifiants

pubmed: 32047670
doi: 10.1155/2020/1874570
pmc: PMC7007953
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1874570

Informations de copyright

Copyright © 2020 Alireza Meighani et al.

Déclaration de conflit d'intérêts

The authors declare that there is no conflict of interest regarding the publication of this paper.

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Auteurs

Alireza Meighani (A)

Division of Gastroenterology and Hepatology, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, USA.

Maryam Alimirah (M)

Department of Internal Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, USA.

Mayur Ramesh (M)

Division of Infectious Diseases, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, USA.

Reena Salgia (R)

Division of Gastroenterology and Hepatology, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, USA.

Classifications MeSH