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

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1824712, encodeId=90711824e127a, content=<a href='/topic/show?id=702a5065860' target=_blank style='color:#2F92EE;'>#微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50658, encryptionId=702a5065860, topicName=微生物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b7c20, createdName=wjcjjian, createdTime=Mon Aug 14 05:13:00 CST 2017, time=2017-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1835672, encodeId=11a418356e233, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Sat Mar 04 20:13:00 CST 2017, time=2017-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1756335, encodeId=85541e5633591, content=<a href='/topic/show?id=7202e63153b' target=_blank style='color:#2F92EE;'>#粪便微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76315, encryptionId=7202e63153b, topicName=粪便微生物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def837117498, createdName=pps20031, createdTime=Tue Jan 17 03:13:00 CST 2017, time=2017-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1367727, encodeId=27b0136e727c8, content=<a href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466789, encodeId=c2b61466e89d0, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1824712, encodeId=90711824e127a, content=<a href='/topic/show?id=702a5065860' target=_blank style='color:#2F92EE;'>#微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50658, encryptionId=702a5065860, topicName=微生物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b7c20, createdName=wjcjjian, createdTime=Mon Aug 14 05:13:00 CST 2017, time=2017-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1835672, encodeId=11a418356e233, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Sat Mar 04 20:13:00 CST 2017, time=2017-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1756335, encodeId=85541e5633591, content=<a href='/topic/show?id=7202e63153b' target=_blank style='color:#2F92EE;'>#粪便微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76315, encryptionId=7202e63153b, topicName=粪便微生物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def837117498, createdName=pps20031, createdTime=Tue Jan 17 03:13:00 CST 2017, time=2017-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1367727, encodeId=27b0136e727c8, content=<a href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466789, encodeId=c2b61466e89d0, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1824712, encodeId=90711824e127a, content=<a href='/topic/show?id=702a5065860' target=_blank style='color:#2F92EE;'>#微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50658, encryptionId=702a5065860, topicName=微生物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b7c20, createdName=wjcjjian, createdTime=Mon Aug 14 05:13:00 CST 2017, time=2017-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1835672, encodeId=11a418356e233, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Sat Mar 04 20:13:00 CST 2017, time=2017-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1756335, encodeId=85541e5633591, content=<a href='/topic/show?id=7202e63153b' target=_blank style='color:#2F92EE;'>#粪便微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76315, encryptionId=7202e63153b, topicName=粪便微生物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def837117498, createdName=pps20031, createdTime=Tue Jan 17 03:13:00 CST 2017, time=2017-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1367727, encodeId=27b0136e727c8, content=<a href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466789, encodeId=c2b61466e89d0, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1824712, encodeId=90711824e127a, content=<a href='/topic/show?id=702a5065860' target=_blank style='color:#2F92EE;'>#微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50658, encryptionId=702a5065860, topicName=微生物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b7c20, createdName=wjcjjian, createdTime=Mon Aug 14 05:13:00 CST 2017, time=2017-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1835672, encodeId=11a418356e233, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Sat Mar 04 20:13:00 CST 2017, time=2017-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1756335, encodeId=85541e5633591, content=<a href='/topic/show?id=7202e63153b' target=_blank style='color:#2F92EE;'>#粪便微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76315, encryptionId=7202e63153b, topicName=粪便微生物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def837117498, createdName=pps20031, createdTime=Tue Jan 17 03:13:00 CST 2017, time=2017-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1367727, encodeId=27b0136e727c8, content=<a href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466789, encodeId=c2b61466e89d0, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1824712, encodeId=90711824e127a, content=<a href='/topic/show?id=702a5065860' target=_blank style='color:#2F92EE;'>#微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50658, encryptionId=702a5065860, topicName=微生物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b7c20, createdName=wjcjjian, createdTime=Mon Aug 14 05:13:00 CST 2017, time=2017-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1835672, encodeId=11a418356e233, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Sat Mar 04 20:13:00 CST 2017, time=2017-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1756335, encodeId=85541e5633591, content=<a href='/topic/show?id=7202e63153b' target=_blank style='color:#2F92EE;'>#粪便微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76315, encryptionId=7202e63153b, topicName=粪便微生物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def837117498, createdName=pps20031, createdTime=Tue Jan 17 03:13:00 CST 2017, time=2017-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1367727, encodeId=27b0136e727c8, content=<a href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466789, encodeId=c2b61466e89d0, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Tue Jan 03 15:13:00 CST 2017, time=2017-01-03, status=1, ipAttribution=)]
    2017-01-03 Homburg

相关资讯

ECCO 2016:粪便微生物移植解决难治性溃疡性结肠炎

欧洲克罗恩病和结肠炎会议上称,对难治性急性溃疡性结肠炎(UC)患者,通过结肠镜和灌肠进行粪便微生物移植(FMT),可有效的诱导患者的临床和内镜缓解。该研究纳入了81名对标准治疗无效的急性UC患者,在第1天随机通过结肠镜输注FMT或安慰剂,然后每周使用FMT或安慰剂灌肠5天,共计8周。研究者从3-7名不相关的捐赠者和停止使用糖皮质激素的患者处获取FMT。研究以第8周无激素临床缓解和内镜缓解或反应作为

Clin Nutr:短肠综合征患者的粪便微生物研究

肠道细菌菌群在人类肠道健康和疾病中起着核心作用。 短肠综合征(SBS)是由于不同原因造成小肠吸收面积减少而引起的一个临床症候群,多由广泛小肠切除、小肠短路手术造成保留肠管过少,营养物质的吸收障碍、腹泻和营养障碍。严重者可危及病人生命。 此外,SBS会影响肠道菌群(IM)组成,以达到新的代谢平衡。 目前关于成人广泛肠切除术后的IM情况知之甚少。 因此就该问题,研究者对12名S