Precision medicine and gut dysbiosis

Healthc Manage Forum. 2020 May;33(3):107-110. doi: 10.1177/0840470419899426. Epub 2020 Jan 14.

Abstract

Clostridioides difficile Infection (CDI) is a leading cause of healthcare-associated infections in Canada, affecting the gastrointestinal tract which can lead to fever, abdominal pain, and diarrhea. Effective treatment for patients with Recurrent CDI (rCDI) can be achieved by Fecal Microbiota Transplantation (FMT) by introducing the gut micro-organisms of a healthy person (donor) into the bowel of the affected individual. Research has shown that an increase in the specific bacterial phyla post-FMT may be partly responsible for this gut restoration and elimination of disease. Furthermore, in understanding the key bacteria associated with successful FMT, full treatment plans can be developed for the individual needs of the patient by matching an infected individual with a donor possessing ideal microbiota for the specific patient. This development of precision medicine and more systematic adoption of FMT can be the next step toward more rapid resolution of rCDI.

MeSH terms

  • Canada
  • Clostridium Infections / therapy*
  • Dysbiosis / therapy*
  • Fecal Microbiota Transplantation
  • Gastrointestinal Microbiome
  • Health Status
  • Humans
  • Precision Medicine*
  • Quality of Life