TY - JOUR
T1 - International consensus conference on stool banking for faecal microbiota transplantation in clinical practice
AU - Cammarota, Giovanni
AU - Ianiro, Gianluca
AU - Kelly, Colleen R.
AU - Mullish, Benjamin H.
AU - Allegretti, Jessica R.
AU - Kassam, Zain
AU - Putignani, Lorenza
AU - Fischer, Monika
AU - Keller, Josbert J.
AU - Costello, Samuel Paul
AU - Sokol, Harry
AU - Kump, Patrizia
AU - Satokari, Reetta
AU - Kahn, Stacy A.
AU - Kao, Dina
AU - Arkkila, Perttu
AU - Kuijper, Ed J.
AU - Vehreschild, Maria J. G. T.
AU - Pintus, Cristina
AU - Lopetuso, Loris
AU - Masucci, Luca
AU - Scaldaferri, Franco
AU - Terveer, E. M.
AU - Nieuwdorp, Max
AU - López-Sanromán, Antonio
AU - Kupcinskas, Juozas
AU - Hart, Ailsa
AU - Tilg, Herbert
AU - Gasbarrini, Antonio
PY - 2019
Y1 - 2019
N2 - Although faecal microbiota transplantation (FMT) has a well-established role in the treatment of recurrent Clostridioides difficile infection (CDI), its widespread dissemination is limited by several obstacles, including lack of dedicated centres, difficulties with donor recruitment and complexities related to regulation and safety monitoring. Given the considerable burden of CDI on global healthcare systems, FMT should be widely available to most centres. Stool banks may guarantee reliable, timely and equitable access to FMT for patients and a traceable workflow that ensures safety and quality of procedures. In this consensus project, FMT experts from Europe, North America and Australia gathered and released statements on the following issues related to the stool banking: general principles, objectives and organisation of the stool bank; selection and screening of donors; collection, preparation and storage of faeces; services and clients; registries, monitoring of outcomes and ethical issues; and the evolving role of FMT in clinical practice, Consensus on each statement was achieved through a Delphi process and then in a plenary face-to-face meeting. For each key issue, the best available evidence was assessed, with the aim of providing guidance for the development of stool banks in order to promote accessibility to FMT in clinical practice.
AB - Although faecal microbiota transplantation (FMT) has a well-established role in the treatment of recurrent Clostridioides difficile infection (CDI), its widespread dissemination is limited by several obstacles, including lack of dedicated centres, difficulties with donor recruitment and complexities related to regulation and safety monitoring. Given the considerable burden of CDI on global healthcare systems, FMT should be widely available to most centres. Stool banks may guarantee reliable, timely and equitable access to FMT for patients and a traceable workflow that ensures safety and quality of procedures. In this consensus project, FMT experts from Europe, North America and Australia gathered and released statements on the following issues related to the stool banking: general principles, objectives and organisation of the stool bank; selection and screening of donors; collection, preparation and storage of faeces; services and clients; registries, monitoring of outcomes and ethical issues; and the evolving role of FMT in clinical practice, Consensus on each statement was achieved through a Delphi process and then in a plenary face-to-face meeting. For each key issue, the best available evidence was assessed, with the aim of providing guidance for the development of stool banks in order to promote accessibility to FMT in clinical practice.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074674332&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31563878
U2 - https://doi.org/10.1136/gutjnl-2019-319548
DO - https://doi.org/10.1136/gutjnl-2019-319548
M3 - Article
C2 - 31563878
SN - 0017-5749
VL - 68
SP - 2111
EP - 2121
JO - Gut
JF - Gut
IS - 12
ER -