Stool Transplantation to Reduce Antibiotic Resistance Transmission
NCT02461199 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2015-06-04
Summary
During this prospective observational study, the investigators collect the information about the outcomes of fecal microbiota transplantation in patients with blood disorders, performed to eradicate gut colonization with multidrug-resistant (MDR) bacteria.
Patients with blood disorders are characterized by poor diversity of gut microbiome, affected by repeated chemotherapy and antimicrobial treatments. This makes them vulnerable to colonization by pathogenic bacteria carrying genes responsible for antibiotic resistance. In case of gut mucosa injury and severe immune suppression, these colonizing bacteria may cause severe systemic infections. As the bacteria are secreted with the stool, the colonized patients become an epidemiologic threat to the others.
Fecal microbiota transplantation (FMT) was shown to be very efficient in treatment of relapsed and refractory Clostridium difficile infection and became a standard treatment. In home institution, the investigators use FMT not only in case of Clostridium difficile colitis, but also in case of gut colonization with multidrug-resistant (MDR) bacteria. This is based on assumption that physiological gut flora may outcompete the pathogenic bacteria similarly as in case of Clostridium difficile and lead to loss of colonization. The procedure is performed in all patients colonized, who qualify according to listed inclusion and exclusion criteria .
Conditions
Interventions
- BIOLOGICAL
-
Fecal microbiota transplantation
Transplantation of 100 ml of fecal microbiota suspension obtained from healthy unrelated donor in two consecutive days via the nasoduodenal tube
Sponsors & Collaborators
-
Medical University of Warsaw
lead OTHER
Principal Investigators
-
Grzegorz Basak, MD, PhD · Department of Hematology, Oncology and Internal Diseases, the Medical University of Warsaw
-
Wieslaw Wiktor-Jedrzejczak, MD, PhD · Department of Hematology, Oncology and Internal Diseases, the Medical University of Warsaw
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-02-28
- Primary Completion
- 2017-02-28
- Completion
- 2017-09-30
Countries
- Poland
Study Locations
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