Stool therapy may become a preferred treatment of recurrent Clostridium difficile?  

作　　者：Dinesh Vyas Heidi E L'Esperance Arpita Vyas 

机构地区：[1]Department of Surgery, College of Human Medicine, Michigan State University, East Lansing, MI 48912, United States [2]Department of Pediatrics, College of Human Medicine, Michigan State University, East Lansing, MI 48912, United States

出　　处：《World Journal of Gastroenterology》2013年第29期4635-4637,共3页世界胃肠病学杂志（英文版）

摘　　要：Fecal enemas were first reported to successfully treat life threatening enterocolitis in 1958, but fecal therapy to treat Clostridium difficile (C. difficile ) infection has remained esoteric and not well investigated until recently. In the past few years, systematic reviews of case series and case reports of fecal microbiota transplant for recurrent C. difficile infection have become available and validate use of fecal transplant for C. difficile enterocolitis. Methods of fecal transplant reported in the literature include: nasogastric tube, gastroscope, duodenal tube, colonoscopy, rectal tube, and fecal enemas administered at home; no method has been shown to be superior. A recent randomized study published in New England Journal of Medicine found fecal transplant to be superior to oral vancomycin alone in treatment of recurrent C. difficile enterocolitis. The significance of this trial cannot be underestimated as it lends credibility to the idea of intentionally using microbes to combat disease, providing an alternative to the older paradigm of disease eradication through use of antimicrobials.Fecal enemas were first reported to successfully treat life threatening enterocolitis in 1958, but fecal therapy to treat Clostridium difficile (C. difficile) infection has remained esoteric and not well investigated until recently. In the past few years, systematic reviews of case series and case reports of fecal microbiota transplant for recurrent C. difficile infection have become available and validate use of fecal transplant for C. difficile enterocolitis. Methods of fecal transplant reported in the literature include: nasogastric tube, gastroscope, duodenal tube, colonoscopy, rectal tube, and fecal enemas administered at home; no method has been shown to be superior. A recent randomized study published in New England Journal of Medicine found fecal transplant to be superior to oral vancomycin alone in treatment of recurrent C. difficile enterocolitis. The significance of this trial cannot be underestimated as it lends credibility to the idea of intentionally using microbes to combat disease, providing an alternative to the older paradigm of disease eradication through use of antimicrobials.

关 键 词：CLOSTRIDIUM DIFFICILE ENTEROCOLITIS PSEUDOMEMBRANOUS Fecal transplantation VANCOMYCIN 

分 类 号：R574[医药卫生—消化系统]