Evidence map›Paper›PMID 20048681›Full record

ArticleJournal of clinical gastroenterology

Changes in the composition of the human fecal microbiome after bacteriotherapy for recurrent Clostridium difficile-associated diarrhea.

Alexander Khoruts, Johan Dicksved, Janet K Jansson, Michael J Sadowsky

2 registry-linked trialsAbstract readCase Reports
PubMed Publisher
In one paragraph

Article in Journal of clinical gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 308 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
308citing papers in PubMed, 8 pooled it
32.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01703494 phase2unknown statusnot on this map

Fecal Microbiota Transplantation for Relapsing Clostridium Difficile Infection

TypeinterventionalSponsorColleen KellyRan2012 to 2015Enrolled53ConditionsClostridium DifficileArmsFecal Microbiota Transplantation, Sham Fecal Microbiota Transplantation
NCT02449174 phase1 / phase2completednot on this map

A Study of Fecal Microbiota Transplantation (FMT) for the Treatment of Recurrent C. Difficile Associated Diarrhea (RCDAD) Via Retention Enema or Oral Route

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2015 to 2018Enrolled69ConditionsC. DifficileArmsFrozen Microbiota, Lyophilized Microbiota
3 · Its place in the literature

Who cites it

308 citing papers in PubMed, 8 syntheses or guidelines pooled it, 644 citations in OpenAlex.

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  3. Predictors of failure after fecal microbiota transplantation for recurrent Clostridioides difficile infection: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
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  9. Efficacy ofFrontiers in nutrition · 2026
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248 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Alexander KhorutsDepartment of Medicine, Center for Immunology, University of Minnesota, Minneapolis 55108, USA.
Johan Dicksved
Janet K Jansson
Michael J Sadowsky
Lawrence Berkeley National Laboratory · USSwedish University of Agricultural Sciences · SETwin Cities Orthopedics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile-associated disease (CDAD) is the major known cause of antibiotic-induced diarrhea and colitis, and the disease is thought to result from persistent disruption of commensal gut microbiota. Bacteriotherapy by way of fecal transplantation can be used to treat recurrent CDAD, which is thought to reestablish the normal colonic microflora. However, limitations of conventional microbiologic techniques have, until recently, precluded testing of this idea. In this study, we used terminal-restriction fragment length polymorphism and 16S rRNA gene sequencing approaches to characterize the bacterial composition of the colonic microflora in a patient suffering from recurrent CDAD before and after treatment by fecal transplantation from a healthy donor. Although the patient's residual colonic microbiota, prior to therapy was deficient in members of the bacterial divisions-Firmicutes and Bacteriodetes, transplantation had a dramatic impact on the composition of the patient's gut microbiota. By 14 days posttransplantation, the fecal bacterial composition of the recipient was highly similar to that of the donor and was dominated by Bacteroides spp. strains and an uncharacterized butyrate producing bacterium. The change in bacterial composition was accompanied by resolution of the patient's symptoms. The striking similarity of the recipient's and donor's intestinal microbiota following after bacteriotherapy suggests that the donor's bacteria quickly occupied their requisite niches resulting in restoration of both the structure and function of the microbial communities present.

Indexed as

MetagenomeClostridioides difficileEnterocolitis, PseudomembranousFecesFemaleFollow-Up StudiesHumansMiddle AgedPolymorphism, Restriction Fragment LengthRNA, Ribosomal, 16SSequence Analysis, RNARNA, Ribosomal, 16S

Identifiers

PMID20048681
OpenAlexW2095040140

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.