Terveer E M, van Beurden Y H, Kuijper E J, Keller J J
Ned Tijdschr Tandheelkd. 2016 Sep;123(9):406-9. doi: 10.5177/ntvt.2016.09.16146.
Clostridium difficile infection is caused by a disturbance of the gut microbiota, often resulting from the use of antibiotics. Among a sub group of patients with this disorder, treatment with antibiotics is not effective. They develop a chronic, recurrent infection. Such patients can be treated with a fecal microbiota transplantation (FMT), or fecal transplantation. The crucial steps for safe application of fecal transplantation are central donor selection and screening. To optimise safety and to guarantee the availability of donor feces for fecal transplantation, the Nederlandse Donor Feces Bank (Dutch Donor Feces Bank) was established. At this facility, ready-to-use, screened donor feces can be ordered for patients with (recurrent) Clostridium difficile infections, who can then be treated at their own hospital.
艰难梭菌感染是由肠道微生物群紊乱引起的,通常是使用抗生素所致。在患有这种疾病的一部分患者中,抗生素治疗无效。他们会发展为慢性复发性感染。这类患者可以接受粪便微生物群移植(FMT),即粪便移植治疗。安全进行粪便移植的关键步骤是供体的选择和筛查。为了优化安全性并确保有供体粪便可用于粪便移植,荷兰供体粪便库成立了。在这个机构,可以为患有(复发性)艰难梭菌感染的患者订购经过筛查、随时可用的供体粪便,这些患者随后可在自己的医院接受治疗。