Evidence map›Paper›PMID 29566738›Full record

Trial reportBMC research notes2018

Fecal microbiota transplantation against intestinal colonization by extended spectrum beta-lactamase producing Enterobacteriaceae: a proof of principle study.

Ramandeep Singh, Pieter F de Groot, Suzanne E Geerlings, Caspar J Hodiamont, Clara Belzer, Ineke J M Ten Berge, Willem M de Vos, Frederike J Bemelman, Max Nieuwdorp

Abstract readClinical Trial
In one paragraph

Trial report in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. The Impact of COVID-19 Pandemic on ESBL-ProducingAntibiotics (Basel, Switzerland) · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ramandeep SinghRenal Transplant Unit, Division of Nephrology, Academic Medical Centre, Room A3-273, PO box 22660, 1100 DD, Amsterdam, The Netherlands. r.singh@amc.nl.
Pieter F de GrootDivision of Vascular Medicine, Academic Medical Centre, Room F4-256, PO box 22660, 1100 DD, Amsterdam, The Netherlands. p.f.degroot@amc.nl.
Suzanne E GeerlingsDivision of Infectious Diseases, Center of Infection and Immunity Amsterdam (CINIMA), Academic Medical Centre, Amsterdam, The Netherlands.
Caspar J HodiamontDepartment of Medical Microbiology, Academic Medical Centre, Amsterdam, The Netherlands.
Clara BelzerDepartment of Microbiology, Wageningen University, Wageningen, The Netherlands.
Ineke J M Ten BergeRenal Transplant Unit, Division of Nephrology, Academic Medical Centre, Room A3-273, PO box 22660, 1100 DD, Amsterdam, The Netherlands.
Willem M de VosDepartment of Microbiology, Wageningen University, Wageningen, The Netherlands.
Frederike J BemelmanRenal Transplant Unit, Division of Nephrology, Academic Medical Centre, Room A3-273, PO box 22660, 1100 DD, Amsterdam, The Netherlands.
Max NieuwdorpDivision of Vascular Medicine, Academic Medical Centre, Room F4-256, PO box 22660, 1100 DD, Amsterdam, The Netherlands.

Funding

nwo gravitation grant 024.002.002zonmw vidi 016.146.327
6 · The paper itself

Abstract

objectiveInfections with multidrug-resistant microorganisms are associated with increased hospitalization, medication costs and mortality. Based on our fecal microbiota transplantation (FMT) experience for Clostridium difficile infection, we treated 15 patients carrying ESBL-producing Enterobacteriaceae (ESBL-EB) with FMT. Seven patients underwent a second FMT after 4 weeks when ESBL-EB remained, amounting to a total number of 22 transplants. The objective was decolonization of ESBL-EB.

resultsThree out of fifteen (20%) patients were ESBL-negative at 1, 2 and 4 weeks after the first transplant, while six out of 15 (40%) were negative after the second transplant. Comparison of fecal microbiota at baseline and 4 weeks after FMT revealed restoration of microbial diversity after FMT and a microbial shift towards donor composition. Finally, we suggest several possible factors of response to therapy, such as donor-recipient microbiota match and number of FMTs. Therefore, FMT can be an effective treatment in patients carrying ESBL-EB. Response may be determined by microbiota composition and number of FMT procedures. Trial registration ISRCTN ISRCTN48328635 Registered 11 October 2017, retrospectively registered.

Indexed as

Gastrointestinal MicrobiomeAdultAgedbeta-LactamasesEnterobacteriaceaeEnterobacteriaceae InfectionsFecal Microbiota TransplantationFecesFemaleHumansIntestinesMaleMiddle AgedTime FactorsTreatment OutcomeYoung Adultbeta-LactamasesESBLFecal microbiota transplantationMicrobiotaMultidrug resistance microorganisms

Identifiers

PMID29566738
PMCPMC5863815

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Registered trials

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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.