C. difficile Clinic & Microbiome Restoration Program, Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, MN 55905, USA.
Future Microbiol. 2024;19(18):1519-1528. doi: 10.1080/17460913.2024.2403892. Epub 2024 Sep 25.
infection (CDI) is a health crisis comprising a majority of healthcare-associated infections and is now being seen in the community. Persistent dysbiosis despite treatment with standard-of-care antibiotics increases risk of recurrent infections. Fecal microbiota transplantation has been an effective way of addressing dysbiosis, but the studies have lacked standardization, which makes outcome and safety data difficult to interpret. Standardized microbiome therapies have demonstrated efficacy and safety for recurrent CDI and have been approved to prevent recurrent infection. In this review, we discuss the data behind and the practice use of fecal microbiota spores, live-brpk (VOWST™ / VOS), a US FDA approved live biotherapeutic for the prevention of recurrent CDI.
感染(CDI)是一种健康危机,主要包括与医疗保健相关的感染,现在在社区中也能看到。尽管采用标准的抗生素治疗,但持续的肠道菌群失调会增加反复感染的风险。粪便微生物群移植一直是解决肠道菌群失调的有效方法,但这些研究缺乏标准化,这使得结果和安全性数据难以解释。标准化微生物组疗法已被证明对复发性 CDI 有效且安全,并已获准预防复发性感染。在这篇综述中,我们讨论了粪便微生物孢子背后的数据和实际应用,活细菌制剂(VOWST™ / VOS),一种美国食品和药物管理局批准的用于预防复发性 CDI 的活体生物治疗剂。