[Fecal bacteriotherapy for the treatment of recurrent Clostridium difficile colitis used in the Clinic of Infectious Diseases of the University Hospital Brno in 2010-2014 - a prospective study]

Epidemiol Mikrobiol Imunol. 2015 Oct;64(4):232-5.
[Article in Czech]

Abstract

Introduction: The aim of the study is to assess the efficacy of fecal bacteriotherapy in the treatment of Clostridium difficile colitis.

Materials and methods: A prospective study of fecal bacteriotherapy in 80 adult patients hospitalized in the Clinic of Infectious Diseases, University Hospital Brno between 1 January 2010 and 31 December 2014.

Results: During the study period, 80 patients were treated with fecal bacteriotherapy. The majority of the study group received fecal bacteriotherapy via a nasojejunal tube (n=78) and two patients via a rectal enema. Six patients were instilled with 20 g of feces, with a success rate of 50 %. The outcomes of nine patients were unevaluable. In the rest of 65 patients, the success rate with 40 g of feces was 83.1 %. There were no severe adverse events or mortality associated with fecal bacteriotherapy.

Conclusions: Fecal bacteriotherapy is a safe and effective treatment modality in Clostridium difficile colitis.

Keywords: Clostridium difficile colitis - recurrence - fecal bacteriotherapy..

MeSH terms

  • Adult
  • Ambulatory Care Facilities
  • Biological Therapy*
  • Clostridioides difficile / physiology*
  • Clostridioides difficile / virology*
  • Clostridium Infections / microbiology
  • Clostridium Infections / therapy*
  • Colitis / microbiology
  • Colitis / therapy*
  • Czech Republic
  • Feces / microbiology*
  • Female
  • Hospitals, University / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Treatment Outcome