Star Articles in Review
|
|
- Rolf Curtis
- 5 years ago
- Views:
Transcription
1 Star Articles in Review CDDW/CASL Meeting Toronto, February 10, 2014 Christina M. Surawicz, MD MACG Professor of Medicine Division of Gastroenterology Department of Medicine University of Washington
2 Disclosure of Financial Relationships Christina M. Surawicz, MD Has no relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
3 Duodenal infusion of donor feces for recurrent Clostridium difficile. van Nood E, Vrieze A, Nieuwdorp M, Fuentes S, Zoetendal ED, de Vos WM, Visser CE, Kuijper Ejk Bartelsman JF, Tijssen JG, Speelman P, Dijkgraaf MG, Keller JJ. N Engl J Med 2013, Jan 31; 368(5):407-15
4 Treating Infectious Diarrhea with Human Stool 1700 years ago in China (Dong-Jin Dynasty) Human feces given to treat food poisoning and severe diarrhea (Zhang, Am J Gastroenterol 2012; 107:1755)
5 Recurrent C. difficile infection (RCDI) Background Result of disturbed microbiome Less diversity Fecal microbiota transplant (FMT) stool transplant - 90% effective in small series + metaanalysis - Better than other therapies Pulsed vancomycin Adjunct probiotics - No prior RCT
6 RCDI Evidence of the Altered Microbiome Evaluated microbiome in 7 pts with CDI and 3 controls Bacteroidetes and Firmicutes = majority 3 developed RCDI Microbiota was less diverse More other bacteria Chang JY, et al, J Infect Dis. 2008;197:435-8.
7 Colon Microbiota Chang JY, et al, J Infect Dis. 2008;197:435-8.
8 Patient Population Adults with life expectancy > 3 months Recurrent CDI - One or more episodes Failed standard therapy Diarrhea > 3 loose or watery / 24 hour x 2 days OR > 8 in 48 hours PLUS C. difficile toxin by PCR
9 Patient Population Elderly (66 73 mean age) Men and women Median recurrences 2 3 Most had 4 episodes Hospital acquired 46 (77%) Normal labs WBC, albumin, creatinine
10 Exclusions Immune compromise risk Pregnancy Intercurrent antibiotics recurrence ICU or on pressors - too sick refractory not recurrence
11 Donors (15) Extensive Screening Repeated every 4 months Stool: Parasites, bacteria Blood: HIV, HTLV 1 + 2, Hepatitis A, B, C, CMV EBV, syphilis, strongyloides, Entamoeba histolytica
12 3 Groups Regimen Number of patients Vancomycin 2 gm/day for 14 days 13 Vancomycin 2 gm/day for 4 days with gut lavage but no donor feces infusion Vancomycin 2 gm/day for 4 days with gut lavage and donor feces via nasoduodenal tube 13 16
13 Method Fresh stool passed within 6 hours Infused via nasoduodenal tube after gut lavage
14 Outcome 1 - Recurrence 10 week follow up If recurred, 2 nd infusion, different donor 10 week follow up extended Recurrence defined Diarrhea + positive C. difficile toxin No other cause of diarrhea Stools tested Days 14, 21, 35, 70, and if diarrhea
15 Outcome 2 - Microbiota Analysis of Stool 16 S ribosomal RNA Diversity scale
16 Enrollment and Outcomes van Nood E et al. N Engl J Med 2013;368:
17 Results 43 patients randomized 2 patients dropped: One stopped meds at home One needed steroids for unrelated problem
18 Results Vancomycin Resolution of RCDI Regimen Response Notes Vancomycin alone 4/13 (31%) Vancomycin and 3/13 (23%) gut lavage Vancomycin and gut lavage and donor stool 13/16 (81%) 2/3 responded to second infusion (94%)
19 Results Trial terminated early Planned 40/each group
20 Time to recurrence days Off protocol treatment 1 or 2 infusions 15/18 83% response
21 Adverse Events Immediate 3 hours resolved Diarrhea 94% Cramps 31 Belching 19 Follow up Constipation 19%
22 Stool Microbiota 9 Patients Pre FMT - Low diversity Post FMT - diversity - Similar to donor Bacterioidetes Clostridium clusters IV, XIVa Proteobacteria
23 Microbiota Diversity in Patients before and after Infusion of Donor Feces, as Compared with Diversity in Healthy Donors. van Nood E et al. N Engl J Med 2013;368:
24 Critique 1 Study Stopped Early - But did wait until evaluation of the 33% had reached their primary outcome
25 Critique 2 - Unblinded But data points collected at regular intervals in all 3 groups Also diarrhea and C. difficile testing are objective outcomes
26 Conclusion FMT effective for RCDI Nasoduodenal route Safe Effective
27 Unanswered Questions for Future of FMT Protocol Screening of donor and recipient Route Amount of stool Safety need database Short term and long term
28 Long Term Follow Up of Colonoscopic FMT for RCDI Lawrence Brandt Bronx, NY Colleen Kelly Providence, RI Mark Mellow Oklahoma City, OK Neil Stollman Oakland, CA Christina Surawicz Seattle, WA (Brandt et al, Am J Gastro, March 27, 2012)
29 Results 77 patients - 56 women Duration - 11 months average Age (65 mean) Resolution within 6 days commonly 91% immediate cure, 98% secondary cure Of 7 failures 2 retransplanted 4 retreated 53% would have it as a 1 st treatment if it recurred
30 Long Term Safety 4 had a new medical condition Peripheral neuropathy Sjögren syndrome ITP Rheumatoid arthritis No infections or deaths related 1 sepsis 6 months later in Crohn s pt. 1 pneumonia
31 Safety of FMT in RCDI Reports Norovirus 2 cases Donor Asymptomatic (Gluck et al, Am J Gastroenterol 2013; 108:1367) Flare of IBD 1 case (deleon et al, Clin Gastro Hep 2013; 11:1036-8)
32 Conclusion FMT effective for RCDI first RCT Colonoscopic RCT in progress (Colleen Kelly) Needs more study Need long-term follow up Data base Safety Efficacy
Gut Microbiota Transplant Pro Position. Christina Surawicz, MD, MACG Professor of Medicine University of Washington Seattle WA
Gut Microbiota Transplant Pro Position Christina Surawicz, MD, MACG Professor of Medicine University of Washington Seattle WA My Focus Recurrent Clostridium difficile infection No uniformly successful
More informationFecal transplantation as a treatment option for recurrent Clostridium difficile infection
Fecal transplantation as a treatment option for recurrent Clostridium difficile infection Josbert Keller Department of Gastroenterology Haga Teaching Hospital, The Hague Case: 81 yrs, CVA, recurrent UTI,
More informationPatient Safety Summit 2014
Patient Safety Summit 2014 The War on C Diff Mark Mellow, MD + C Diff The Organism Gram + bacillus Anaerobic Spore forming Intestinal flora (up to 35% hospitalized patients, 3% of healthy adults) Leading
More informationClinical Policy Bulletin: Fecal Bacteriotherapy
Clinical Policy Bulletin: Fecal Bacteriotherapy Number: 0844 Policy Aetna considers fecal bacteriotherapy medically necessary for persons with Clostridium difficile infection, with infection confirmed
More informationAll POOPed out: fecal microbiota transplant in C. difficile
All POOPed out: fecal microbiota transplant in C. difficile SUSAN M. KELLIE, MD, MPH PROFESSOR OF INTERNAL MEDICINE DIVISION OF INFECTIOUS DISEASES UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE HOSPITAL
More informationClostridium Difficile colitismore
Clostridium Difficile colitismore virulent than ever ECHO- February 18, 2016 Charles Krasner, M.D. UNR School of Medicine Sierra NV Veterans Affairs Hospital Growing problem of pseudomembranous colitis
More informationCorporate Medical Policy Fecal Microbiota Transplantation
Corporate Medical Policy Fecal Microbiota Transplantation File Name: Origination: Last CAP Review: Next CAP Review: Last Review: Fecal_microbiota_transplantation 7/2014 11/2017 11/2018 11/2017 Description
More informationFecal Microbiota Transplantation. Description
Section: Medicine Effective Date: April 15, 2017 Original Policy Date: September 12, 2014 Subject: Fecal Microbiota Transplantation Page: 1 of 10 Last Review Status/Date: March 2017 Fecal Microbiota Transplantation
More informationC. difficile: When to Do Fecal Microbiota Transplant (FMT)
C. difficile: When to Do Fecal Microbiota Transplant (FMT) Lawrence J. Brandt, MD, MACG Emeritus Chief, Gastroenterology Montefiore Medical Center Professor of Medicine and Surgery Albert Einstein College
More informationWhen To Do Fecal Microbiota Transplant (FMT) For C. difficile
When To Do Fecal Microbiota Transplant (FMT) For C. difficile Lawrence J. Brandt, MD, MACG Emeritus Chief, Gastroenterology Montefiore Medical Center Professor of Medicine and Surgery Albert Einstein College
More informationFecal Microbiota Transplantation
Protocol Fecal Microbiota Transplantation (20192) Medical Benefit Effective Date: 10/01/14 Next Review Date: 07/18 Preauthorization Yes Review Dates: 07/14, 07/15, 07/16, 07/17 Preauthorization is required.
More informationDuodenal infusion of donor feces for recurrent Clostridium difficile infection A French experience
Duodenal infusion of donor feces for recurrent Clostridium difficile infection A French experience Benoit Guery Unité des Maladies Infectieuses CHRU - Faculté de Médecine Lille Conflicts of interest Conferences,
More information(No Image Selected) Video Submission Confirmation: No Video Upload: Abstract Author: Investigator Commercial Products or Services: No Designed Study:
Found 3 Abstracts CONTROL ID: 1745628 TITLE: Fecal Microbiota Transplantation (FMT) for Treatment of Clostridium difficile Infection (CDI) in Immunocompromised Patients CONTACT (NAME ONLY): Colleen Kelly
More informationFecal Microbiota Transplantation in C. diff. colitis Benefits and Limitations
January 27th 2017, 8th Gastro Foundation Weekend for Fellows; Spier Hotel & Conference Centre, Stellenbosch Fecal Microbiota Transplantation in C. diff. colitis Benefits and Limitations Gerhard Rogler,
More informationTreatment Update on Fecal Microbiota Transplantation. Arnab Ray, MD Ochsner Clinic Foundation Gastroenterology Department
Treatment Update on Fecal Microbiota Transplantation Arnab Ray, MD Ochsner Clinic Foundation Gastroenterology Department Disclosure I serve as a paid medical monitor for Rebiotix Objectives The scope of
More informationACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Clostridium difficile Infections
ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Clostridium difficile Infections Christina M. Surawicz, MD 1, Lawrence J. Brandt, MD 2, David G. Binion, MD 3, Ashwin N. Ananthakrishnan,
More informationUpdates in Fecal Microbial Transplant
Updates in Fecal Microbial Transplant Dina Kao, MD FRCPC Associate Professor, Gastroenterology University of Alberta Nikhil Pai, MD FAAP FRCPC Assistant Professor, Ped Gastroenterology McMaster University
More informationOCTOBER 7-10 PHILADELPHIA, PENNSYLVANIA
OMED 17 OCTOBER 7-10 PHILADELPHIA, PENNSYLVANIA 29.5 Category 1-A CME credits anticipated ACOFP / AOA s 122 nd Annual Osteopathic Medical Conference & Exposition Joint Session with ACOFP and Cleveland
More informationCLINICAL MEDICAL POLICY
Policy Name: Policy Number: Responsible Department(s): CLINICAL MEDICAL POLICY Fecal Microbiota Transplant MP-066-MD-PA Medical Management Provider Notice Date: 10/15/2018; 01/15/2018 Issue Date: 11/15/2018;
More informationPatient presentation
Update: Clostridium difficile Colitis David H. Kerman, MD Assistant Professor of Clinical Medicine Director, Fellowship Program Division of Gastroenterology University of Miami Miller School of Medicine
More informationFecal Microbiota Transplantation
Fecal Microbiota Transplantation Policy Number: 2.01.92 Last Review: 7/2018 Origination: 5/2015 Next Review: 7/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for
More information9/18/2018. Clostridium Difficile: Updates on Diagnosis and Treatment. Clostridium difficile Infection (CDI) Clostridium difficile Infection (CDI)
Clostridium Difficile: Updates on Diagnosis and Treatment Elizabeth Hudson, DO, MPH 9/25/18 Antibiotic-associated diarrhea and colitis were well established soon after widespread use of antibiotics In
More informationClostridium difficile Infection (CDI) Management Guideline
Clostridium difficile Infection (CDI) Management Guideline Do not test all patients with loose or watery stools for CDI o CDI is responsible for
More informationFecal microbiota transplantation: Breaking the chain of recurrent C. difficile infection
Fecal microbiota transplantation: Breaking the chain of recurrent C. difficile infection Issue Date: June 2013 Vol. 8 No. 6 Author: Amy Marinski, MSN, RN, CCRN, CNL More than 3 million new cases of Clostridium
More informationFecal Microbiota Transplantation: Clinical and experimental studies van Nood, E.
UvA-DARE (Digital Academic Repository) Fecal Microbiota Transplantation: Clinical and experimental studies van Nood, E. Link to publication Citation for published version (APA): van Nood, E. (2015). Fecal
More informationManaging Clostridium Difficile: An Old Bug With
932 The Red Section see related editorial on page x Managing Clostridium Difficile: An Old Bug With New Tricks Stephen M. Vindigni, MD, MPH 1,2 and Christina M. Surawicz, MD 1 Am J Gastroenterol (2018)
More informationThe Netherlands Donor Feces Bank a. it takes stool to get better
The Netherlands Donor Feces Bank a it takes stool to get better H.W. Verspaget Dept. of Biobanking and Dept. of Gastroenterology Leiden University Medical Center The Netherlands Fecal MicrobiotaTransplantation
More informationFECAL TRANSPLANTATION
FECAL TRANSPLANTATION From Theory to Practice in Ridge Meadows Edward Auersperg 13 January 2016 The Human Genome How many different chromosomes do humans have? 46 chromosomes 23 pairs The Human Genome
More informationFecal Microbiota Transplantation (FMT): Current Concepts in Clostridium difficile and beyond
Fecal Microbiota Transplantation (FMT): Current Concepts in Clostridium difficile and beyond Amir Patel, MD Assistant Professor of Medicine Froedtert Hospital and the Medical College of Wisconsin I have
More informationEDUCATIONAL COMMENTARY CLOSTRIDIUM DIFFICILE UPDATE
EDUCATIONAL COMMENTARY CLOSTRIDIUM DIFFICILE UPDATE Educational commentary is provided through our affiliation with the American Society for Clinical Pathology (ASCP). To obtain FREE CME/CMLE credits click
More informationThe Epidemiology of Clostridium difficile DANIEL SAMAN, DRPH, MPH RESEARCH SCIENTIST ESSENTIA INSTITUTE OF RURAL HEALTH
The Epidemiology of Clostridium difficile DANIEL SAMAN, DRPH, MPH RESEARCH SCIENTIST ESSENTIA INSTITUTE OF RURAL HEALTH Some history first Clostridium difficile, a spore-forming gram-positive (i.e., thick
More informationFecal microbiota transplantation (FMT) for Clostridium difficile colitis
Fecal microbiota transplantation (FMT) for Clostridium difficile colitis Patrick Knight 1, John P. Anagnostakos 1, Maggie J. Lin 1, Berhanu Geme 1, Stanislaw P. A. Stawicki 1,2 1 St. Luke s University
More informationObjectives RECENT ADVANCES IN FECAL MICROBIOTA TRANSFORMATION. TRANSPLANT in Inflammatory Bowel Disease
RECENT ADVANCES IN FECAL MICROBIOTA TRANSFORMATION TRANSPLANT in Inflammatory Bowel Disease David Suskind M.D. Professor of Pediatrics Division of Gastroenterology University of Washington Seattle Children
More information10/4/2014. The Microbiome vs. the Gastroenterologist. Human Microbiome. Microbiome and Host Physiology: A Delicate Balance
The Microbiome vs. the Gastroenterologist John K. Marshall MD MSc FRCPC AGAF Division of Gastroenterology McMaster University Human Microbiome Mouth Finlay BB. Scientific American 2010;302:56-63 Microbiome
More informationNicola Petrosillo Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani, IRCCS Roma. L infezione da C difficile grave o complicata
Nicola Petrosillo Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani, IRCCS Roma L infezione da C difficile grave o complicata Bagdasarian N et al. JAMA 2015; 313: 398-408 European Society
More informationBENEFIT APPLICATION BLUE CARD/NATIONAL ACCOUNT ISSUES
Medical Policy BCBSA Ref. Policy: 2.01.92 Last Review: 11/15/2018 Effective Date: 11/15/2018 Section: Medicine Related Policies 2.04.26 Fecal Analysis in the Diagnosis of Intestinal Dysbiosis DISCLAIMER
More informationCLINICAL MEDICAL POLICY
Policy Name: Policy Number: Responsible Department(s): CLINICAL MEDICAL POLICY Fecal Microbiota Transplant MP-066-MD-DE Medical Management Provider Notice Date: 10/15/2018; 04/15/2018 Issue Date: 11/15/2018;
More informationmore intense treatments are needed to get rid of the infection.
What Is Clostridium Difficile (C. Diff)? Clostridium difficile, or C. diff for short, is an infection from a bacterium that can grow in your intestines and cause bad GI symptoms. The main risk of getting
More informationDivision of GIM Lecture Series Case Presentation David A. Erickson, M.D October 9th, 2013
Division of GIM Lecture Series Case Presentation David A. Erickson, M.D October 9th, 2013 Financial Disclosures No financial disclosures Objectives Review a case of recurrent Clostridium difficile infection
More informationTitle: Fecal microbiota transplantation in recurrent Clostridium difficile infection in a patient with concomitant inflammatory bowel disease
Title: Fecal microbiota transplantation in recurrent Clostridium difficile infection in a patient with concomitant inflammatory bowel disease Authors: Marta Gravito-Soares, Elisa Gravito-Soares, Francisco
More informationClinical Infectious Diseases Advance Access published December 7, 2012
Clinical Infectious Diseases Advance Access published December 7, 2012 1 Physician Attitudes Towards the Use of Fecal Transplantation for Recurrent Clostridium Difficile Infection in a Large Metropolitan
More informationMicrobiome GI Disorders
Microbiome GI Disorders Prof. Ram Dickman Neurogastroenterology Unit Rabin Medical Center Israel 1 Key Points Our gut microbiota Were to find them? Symbiosis or Why do we need them? Dysbiosis or when things
More informationWhat s New for Clostridium difficile John Lynch MD MPH Harborview Medical Center University of Washington
What s New for Clostridium difficile 2013 John Lynch MD MPH Harborview Medical Center University of Washington Pathogenic Mechanisms of Diarrhea Toxins: Preformed: S aureus, C perfringens, B cereus Formed
More informationCase 1. Which of the following would be next appropriate investigation/s regarding the pts diarrhoea?
Case 1 21 yr old HIV +ve, Cd4-100 HAART naïve Profuse diarrhoea for 3/52. Stool MC&S ve Which of the following would be next appropriate investigation/s regarding the pts diarrhoea? Repeat stool MC&S Stool
More informationVirtual Lectures Planning Committee Disclosure Summary
Mayo Medical Laboratories Virtual Lectures 2014 MFMER Virtual Lectures Planning Committee Disclosure Summary As a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of CPD) must
More informationClinical Review Criteria Fecal Microbial Transplant for Treatment of C. Difficile Infection Fecal GI Infusion Fecal Capsule (G3 OpenBiome)
Clinical Review Criteria Fecal Microbial Transplant for Treatment of C. Difficile Infection Fecal GI Infusion Fecal Capsule (G3 OpenBiome) Criteria Codes Revision History Kaiser Foundation Health Plan
More informationClostridium Difficile Infection: Applying New Treatment Guidelines and Strategies to Reduce Recurrence Rate
Clostridium Difficile Infection: Applying New Treatment Guidelines and Strategies to Reduce Recurrence Rate Objectives Summarize the changing epidemiology and demographics of patients at risk for Clostridium
More informationClinical Primer: Position Statement for Fecal Microbiota Transplantation Administration for Recurrent Clostridium difficile Infection
Clinical Primer: Position Statement for Fecal Microbiota Transplantation Administration for Recurrent Clostridium difficile Infection Zain Kassam MD, MPH, FRCPC Chief Medical Officer, OpenBiome Disclaimer
More informationENGLISH FOR PROFESSIONAL PURPOSES UNIT 3 HOW TO DEAL WITH CLOSTRIDIUM DIFFICILE
ENGLISH FOR PROFESSIONAL PURPOSES UNIT 3 HOW TO DEAL WITH CLOSTRIDIUM DIFFICILE The diagnosis of CDI should be based on a combination of clinical and laboratory findings. A case definition for the usual
More informationFecal Microbiota Transplantation: How it s Done, How it Works, and What Challenges Does it Face
The Chinese University of Hong Kong, Faculty of Medicine, Department of Microbiology Joint Graduate Student Seminar Fecal Microbiota Transplantation: How it s Done, How it Works, and What Challenges Does
More informationFaecal Microbiota Transplants: The evidence and experience
Faecal Microbiota Transplants: The evidence and experience Dr Simon Goldenberg Consultant Microbiologist and Infection Control Doctor Guy s & St Thomas NHS Foundation Trust Gut microbiota and health Level
More informationClostridium difficile CRISTINA BAKER, MD, MPH INFECTIOUS DISEASE PARK NICOLLET/HEALTH PARTNERS 11/9/2018
Clostridium difficile CRISTINA BAKER, MD, MPH INFECTIOUS DISEASE PARK NICOLLET/HEALTH PARTNERS 11/9/2018 Disclosures None Objectives Highlight important changes in the management of Clostridium difficile
More informationA bs tr ac t. n engl j med 368;5 nejm.org january 31,
The new england journal of medicine established in 1812 january 31, 2013 vol. 368 no. 5 Duodenal Infusion of Donor Feces for Recurrent Clostridium difficile Els van Nood, M.D., Anne Vrieze, M.D., Max Nieuwdorp,
More informationIs FMT the answer? Challenging Cases in CDI. Ted Steiner, M.D. April 1, 2016
Is FMT the answer? Challenging Cases in CDI Ted Steiner, M.D. April 1, 2016 CONFLICT OF INTEREST DISCLOSURE SLIDE In the past 2 years I have been an employee of: In the past 2 years I have been a consultant
More informationSubject: Fecal Microbiota Transplantation
02-40000-24 Original Effective Date: 09/15/14 Reviewed: 07/26/18 Revised: 08/15/18 Subject: Fecal Microbiota Transplantation THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION, CERTIFICATION, EXPLANATION
More informationAn Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53
An Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53 Transcript Details This is a transcript of an episode from the podcast series Frankly Speaking accessible at Pri- Med.com. Additional media formats
More informationFecal Microbial Transplant Effect on Clinical Outcomes and Fecal Microbiome in Active Crohn's Disease
Fecal Microbial Transplant Effect on Clinical Outcomes and Fecal Microbiome in Active Crohn's Disease March 2015 - Volume 21 - Issue 3 - p 556 563 doi: 10.1097/MIB.0000000000000307 Original Clinical Articles
More informationDISCLOSURE Relevant relationships with commercial entities Wyeth (received advisory board & speaker honoraria) Potential for conflicts of interest wit
GASTROENTERITIS DISCLOSURE Relevant relationships with commercial entities Wyeth (received advisory board & speaker honoraria) Potential for conflicts of interest within this presentation fidaxomicin (which
More informationMEDICAL POLICY SUBJECT: FECAL BACTERIOTHERAPY EFFECTIVE DATE: 08/16/12 REVISED DATE: 08/15/13, 07/17/14, 07/16/15, 06/16/16, 06/15/17
MEDICAL POLICY SUBJECT: FECAL BACTERIOTHERAPY PAGE: 1 OF: 7 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
More informationFecal Microbiota Transplantation for Severe sepsis and Diarrhea : a Case Report
Fecal Microbiota Transplantation for Severe sepsis and Diarrhea : a Case Report Qiurong Li Institute of General Surgery, Jinling Hospital Nanjing Univeristy Gut Microbiota 100 trillion cells 10-fold of
More informationAccepted Article. Fecal microbiota transplantation - something more than merely a therapeutic curiosity
Accepted Article Fecal microbiota transplantation - something more than merely a therapeutic curiosity CARLOS FERRE ARACIL, Lara Aguilera Castro, Enrique Rodriguez de Santiago, Ana García García de Paredes,
More informationDoes Fecal Microbiota Transplantation Cause Clinical Remission in Patients with Ulcerative Colitis?
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 12-2017 Does Fecal Microbiota Transplantation
More informationClostridium difficile Infection: Diagnosis and Management
Clostridium difficile Infection: Diagnosis and Management Brian Viviano D.O. Case study 42 year old female with history of essential hypertension and COPD presents to ED complaining of 24 hours of intractable,
More informationFecal microbiota transplantation: The When,the How and the Don t. By Dr Rola Hussein
Fecal microbiota transplantation: The When,the How and the Don t By Dr Rola Hussein Introduction Fecal microbiota transplantation (FMT) involves administration of fecal material containing distal gut microbiota
More informationResponders as percent of overall members in each category: Region: New England 50 (57% of 87 members) 46 (57% of 81 members) 21 (55% of 38 members)
Infectious Diseases Society of America Emerging Infections Network Report for Query: Recurrent C. difficile Infections (CDI) Overall response rate: 621/1212 (51.2%) physicians responded from 09/26/12 to
More informationLiterature Scan: Antibiotics for Clostridium difficile Infection. Month/Year of Review: May 2015 Date of Last Review: April 2012
Copyright 2012 Oregon State University. All Rights Reserved Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35 Salem, Oregon 97301-1079 Phone 503-947-5220 Fax 503-947-1119
More informationOriginal Article YH FANG, J CHEN, JD YU, YY LUO, JG LOU. Key words. Introduction
HK J Paediatr (new series) 2017;22:199-203 Original Article The Preliminary Investigation of Faecal Microbiota Transplantation for Paediatric Recurrent Chronic Bowel Diseases and Literature Review YH FANG,
More informationCLOSTRIDIUM DIFICILE. Negin N Blattman Infectious Diseases Phoenix VA Healthcare System
CLOSTRIDIUM DIFICILE Negin N Blattman Infectious Diseases Phoenix VA Healthcare System ANTIBIOTIC ASSOCIATED DIARRHEA 1978: C diff first identified 1989-1992: Four large outbreaks in the US caused by J
More informationUpdate on C. difficile: Diagnosis and Therapy Including Fecal Transplant
Update on C. difficile: Diagnosis and Therapy Including Fecal Transplant Colleen R. Kelly, MD Clinical Assistant Professor of Medicine Brown University Warren Alpert School of Medicine Rhode Island Chapter,
More informationFecal Microbiota Transplantation (FMT)
Fecal Microbiota Transplantation (FMT) Tatiana Bogdanovich, MD, PhD Medical Director, FMT Program Division of Infectious Diseases University of Pittsburgh Medical Center Disclosures I have no financial
More informationUpdate on Clostridium difficile infection.
Update on Clostridium difficile infection. K. Honein Gastroenterologist, HDF Associate Professor Head of Medicine Department St Joseph University-Beirut. Introduction Gram+anaerobic bacillus responsible
More informationClinical Policy Title: Fecal transplantation for clostridium difficile infection
Clinical Policy Title: Fecal transplantation for clostridium difficile infection Clinical policy number: 08.02.02 Effective Date: October 1, 2014 Initial Review Date: June 18, 2014 Most Recent Review Date:
More informationConsistent and Reproducible Production of a Microbiota-based Drug for Recurrent C. difficile
Consistent and Reproducible Production of a Microbiota-based Drug for Recurrent C. difficile Infection: Application of a Novel Diagnostic for Dysbiosis Courtney Jones, BS Rebiotix Inc. Roseville, MN USA
More informationLong-Term Care Updates
Long-Term Care Updates April 2017 Bezlotoxumab to Prevent Recurrent Infection By Amy Wilson, PharmD and Zara Risoldi Cochrane, PharmD, MS, FASCP Introduction The Gram-positive bacteria is a common cause
More informationPredictors of Early Failure After Fecal Microbiota Transplantation for the Therapy of Clostridium Difficile Infection: A Multicenter Study
nature publishing group ORIGINAL CONTRIBUTIONS 1 see related editorial on page x Predictors of Early Failure After Fecal Microbiota Transplantation for the Therapy of Clostridium Difficile Infection: A
More informationUpdates to pharmacological management in the prevention of recurrent Clostridium difficile
Updates to pharmacological management in the prevention of recurrent Clostridium difficile Julia Shlensky, PharmD PGY2 Internal Medicine Resident September 12, 2017 2017 MFMER slide-1 Clinical Impact Increasing
More informationStony Brook Adult Clostridium difficile Management Guidelines. Discontinue all unnecessary antibiotics
Stony Brook Adult Clostridium difficile Management Guidelines Summary: Use of the C Diff Infection (CDI) PowerPlan (Adult) Required Patient with clinical findings suggestive of Clostridium difficile infection
More informationManagement of the Hospitalized IBD Patient. Drew DuPont MD
Management of the Hospitalized IBD Patient Drew DuPont MD Ulcerative Colitis: Indications for Admission Severe ulcerative colitis Frequent loose bloody stools ( 6 per day) Severe cramps Systemic toxicity:
More informationJourney to Decreasing Clostridium Difficile and the Unexpected Twist. Jackie Morton, Infection Prevention Cortney Swiggart, Medication Safety Officer
Journey to Decreasing Clostridium Difficile and the Unexpected Twist Jackie Morton, Infection Prevention Cortney Swiggart, Medication Safety Officer 4/13/2018 Objectives Discuss the organism and clinical
More informationThe good, the bad and the ugly. Our microbiome and it s effect on health and disease.
The good, the bad and the ugly Our microbiome and it s effect on health and disease. Objectives Discuss C difficile infection including treatment options Explain process of Fecal MicrobiotaTransplantation
More informationInternational Journal of Food and Allied Sciences
International Journal of Food and Allied Sciences ISSN: 2415-0290 (Print) ISSN: 2413-2543 (Online) DOI:10.21620/ijfaas.2017120-26 Research Article History The Role of Saccharomyces boulardii in the Treatment
More informationACP Aaron Fieker, D.O
ACP 2016 Aaron Fieker, D.O Colorectal cancer (CRC) Update on screening strategies and tools Irritable Bowel Syndrome (IBS) New therapeutic options C-difficile Updates on treating recurrent disease CRC
More informationThe Potential For Microbiome Modification In Critical Illness. Deborah Cook
The Potential For Microbiome Modification In Critical Illness Deborah Cook To review Objectives The microbiome & concepts about its modification during critical illness Interventions Predisposition to
More informationProbiotics: Their Role in Medicine Today. Objectives. Probiotics: What Are They? 11/3/2017
Probiotics: Their Role in Medicine Today Viki Barr Pharm.D., BCPS AQ ID Assistant Professor, Pharmacy Practice Rosalind Franklin University of Medicine and Science Clinical Pharmacist, Infectious Diseases
More informationClostridium Difficile Infection in Adults Treatment and Prevention
Clostridium Difficile Infection in Adults Treatment and Prevention Definition: Clostridium Difficile colonizes the human intestinal tract after the normal gut flora has been altered by antibiotic therapy
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationNew approaches to treating Clostridium difficile Infection
7:45 8:45 am New Approaches to Treating C. difficile Infection SPEAKER Fred A. Lopez, MD, MACP Presenter Disclosure Information The following relationships exist related to this presentation: Fred A. Lopez,
More informationGut bugs and health. Patrick Bateson
Gut bugs and health Patrick Bateson Characteristic odour of kin group is produced by inherited bacterial flora degrading fats secreted by anal glands An increasing number of people in developed countries
More information! Macrolide antibacterial. Fidaxomicin (Dificid ) package labeling. Optimer Pharmaceuticals, Inc. May 2011.
Disclosure! I have no conflicts of interest related to this presentation Nina Naeger Murphy, Pharm.D., BCPS Clinical Pharmacy Specialist Infectious Diseases MetroHealth Medical Center Learning Objectives!
More informationClostridium difficile Infection (CDI)
18.09.10 월요집담회 Clostridium difficile Infection (CDI) R4 송주혜 Clostridium difficile infection (CDI) Anaerobic gram (+), spore-forming, toxin(tcda&tcdb)-producing bacillus Transmitted among humans through
More informationC. difficile and ASP Guidelines and Best Practices. Belinda Ostrowsky, MD, MPH, FSHEA, FIDSA February 27 and 28, 2018
C. difficile and ASP Guidelines and Best Practices Belinda Ostrowsky, MD, MPH, FSHEA, FIDSA February 27 and 28, 2018 Disclosure I have no financial disclosures I have made a recent transition from Montefiore
More informationClostridium difficile: Can you smell the new updates?
Clostridium difficile: Can you smell the new updates? Sunish Shah, Pharm.D. PGY-2 Infectious Disease Pharmacy Resident Yale-New Haven Hospital sshah1741@mail.usciences.edu Learning objectives Recognize
More informationRunning Head: REVIEW Collegescribe.com 1
Running Head: REVIEW Collegescribe.com 1 Duodenal Infusion of Donor Feces for Recurrent C. difficile Name University REVIEW Collegescribe.com 2 Clostridium difficile is a colon infection that is acquired
More informationLong-Term Care Updates
Long-Term Care Updates April 2018 By Austin Smith, PharmD Candidate and Lindsay Slowiczek, PharmD is the most common healthcare-acquired infection (HAI) in the United States. 1,2 A 2014 prevalence survey
More informationUpdated Clostridium difficile Treatment Guidelines
Updated Clostridium difficile Treatment Guidelines Arielle Arnold, PharmD, BCPS Clinical Pharmacist Saint Alphonsus Regional Medical Center September 29 th, 2018 Disclosures Nothing to disclose Learning
More informationTake home messages. Diet and antibiotics are major regulators of microbiota composition
Mining Novel Therapeutic Bacterial Strains Using Fecal Microbiota Transplantation to Combat Metabolic Disease Seminar Infectious Diseases 21-05-2015 Guido Bakker MD, PhD student Department of Vascular
More informationClinical Policy Title: Fecal transplantation for the treatment of clostridium difficile infection
Clinical Policy Title: Fecal transplantation for the treatment of clostridium difficile infection Clinical policy number: 08.02.02 Effective Date: October 1, 2014 Initial Review Date: June 18, 2014 Most
More informationInitial Experience of Faecal Microbiota Transplantation for the Treatment of Clostridium difficile Infection in Hong Kong
HA Convention 2018 Initial Experience of Faecal Microbiota Transplantation for the Treatment of Clostridium difficile Infection in Hong Kong Rashid NS Lui MBChB (CUHK), MRCP (UK), FHKCP Division of Gastroenterology
More information