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共识报告:粪便微生物群移植临床应用与操作要点

2017-01-02 MedSci MedSci原创

近期,医脉通整理了发表在Alimentary Pharmacology and Therapeutics杂志上的关于粪便微生物群移植(FMT)的共识报告。上一篇文章中着重介绍了FMT的临床指征,本文对FMT临床实验设计,捐赠者选择,粪便准备以及接受FMT患者(以下称受体)准备的重要推荐进行介绍,详情如下:当应用FMT计划临床研究时,需要考虑的重点包括以下:捐赠者选择的重要推荐在捐赠者选择上,可能导

发表在Alimentary Pharmacology and Therapeutics杂志上的关于粪便微生物群移植(FMT)的共识报告。上一篇文章中着重介绍了FMT的临床指征,本文对FMT合并艰难梭菌感染,临床实验设计,捐赠者选择,粪便准备以及接受FMT患者(以下称受体)准备的重要推荐进行介绍:

当应用FMT计划临床研究时,需要考虑的重点包括以下:

FMT在复发艰难梭菌感染时处理原则:



当应用FMT计划临床研究时,需要考虑的重点包括以下:



捐赠者选择的重要推荐


在捐赠者选择上,可能导致短暂或永久性的疾病应该予以排除,详情如表1所示。表2和表3提示需要进行检测的血清学和粪便标志物以排除临床上不明显感染。




粪便准备的重要推荐


受体准备的重要推荐


粪便微生物群移植或转移是一种治疗多种肠道微生物群被扰乱疾病的有前景方法。对于除了艰难梭菌感染外的其他指征,在提出具体建议前还需要更多的证据。

原始出处:

König J, Siebenhaar A, Högenauer C, Arkkila P, Nieuwdorp M, Norén T, Ponsioen CY, Rosien U, Rossen NG, Satokari R, Stallmach A, de Vos W, Keller J, Brummer RJ. Consensus report: faecal microbiota transfer - clinical applications and procedures. Aliment Pharmacol Ther. 2017 Jan;45(2):222-239.

指南下载:共识报告:粪便微生物移植--临床应用与处理 2017年

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    2017-01-03 Homburg

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