Evidence map›Paper›PMID 31639033›Full record

ArticleCritical care (London, England)2019

Rescue fecal microbiota transplantation for antibiotic-associated diarrhea in critically ill patients.

Min Dai, Yafei Liu, Wei Chen, Heena Buch, Yi Shan, Liuhui Chang, Yong Bai, Chen Shen, Xiaoyin Zhang, Yufeng Huo and 12 more

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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.

NCT03895593 recruitingnot on this map

Rescue Fecal Microbiota Transplantation for Refractory Intestinal Infections: China National Registry

TypeobservationalSponsorThe Second Hospital of Nanjing Medical UniversityRan2015 to 2029Enrolled100ConditionsIntestinal Infection, Clostridioides Difficile Infection, Antibiotic-associated DiarrheaArmsrescue fecal microbiota transplantation
NCT04251767 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

Washed Microbiota Transplantation for Patients With 2019-nCoV Infection: a Randomized, Double-blind, Placebo-controlled Study

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2020 to 2020Enrolled0ConditionsCOVID-19 Complicated With Refractory Intestinal InfectionsArmswashed microbiota transplantation, placebo
NCT05035784 nacompletednot on this mapstarted 2020, after this paper: background citation

Retrograde Colonic Enema With Fecal Microbiota Transplantation vs Retrograde Colonic Enema Only in the Treatment of Childhood Constipation

TypeinterventionalSponsorShengjing HospitalRan2020 to 2022Enrolled110ConditionsFecal Microbiota Transplantation, Constipation - FunctionalArmsFecal supernatant, Placebo
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Gut-derived immune cells and the gut-lung axis in ARDS.Critical care (London, England) · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. The Next Generation Fecal Microbiota Transplantation: To Transplant Bacteria or Virome.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Review
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

22 authors at 14 institutions in 1 country.

Min DaiMedical Center for Digestive Diseases, the Second Affiliated Hospital of Nanjing Medical University, 121 Jiang Jia Yuan, Nanjing, 210011, China.
Yafei LiuMedical Center for Digestive Diseases, the Second Affiliated Hospital of Nanjing Medical University, 121 Jiang Jia Yuan, Nanjing, 210011, China.
Wei ChenDepartment of Critical Care Medicine, NO.971 Hospital of Chinese People's Liberation Army Navy, Qingdao, 266000, China.
Heena BuchMedical Center for Digestive Diseases, the Second Affiliated Hospital of Nanjing Medical University, 121 Jiang Jia Yuan, Nanjing, 210011, China.
Yi ShanDepartment of Critical Care Medicine, the Affiliated Yixing Hospital of Jiangsu University, Yixing, 214200, China.
Liuhui ChangDepartment of Anesthesiology, the Second Affiliated Hospital of Suzhou University, Suzhou, 215000, China.
Yong BaiDepartment of Intensive Care Unit, Renmin Hospital, Hubei University of Medicine, Shiyan, 442000, China.
Chen ShenDepartment of Cardiovascular Surgery, Shenzhen Hospital, Southern Medical University, Shenzhen, 518110, China.
Xiaoyin ZhangDepartment of Holistic Integrative Medicine, Shenzhen Hospital of Southern Medical University, Shenzhen, 518110, China.
Yufeng HuoDepartment of Pediatric Intensive Care Unit, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Dian HuangDepartment of Critical Care Medicine, Liuzhou General Hospital, Liuzhou, 545006, China.
Zhou YangDepartment of Emergency, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China.
Zhihang HuDepartment of Critical Care Medicine, Hefei Hospital Affiliated to Anhui Medical University, Hefei, 230000, China.
Xuwei HeDepartment of Critical Care Medicine, Lishui People's Hospital, the Sixth Affiliated Hospital of Wenzhou Medical University, Lishui, 323000, China.
Junyu PanDepartment of Intensive Care Unit, Qiandongnan People's Hospital, Kaili, 556000, China.
Lili HuDepartment of Critical Care Medicine, Shenzhen Hospital, Southern Medical University, Shenzhen, 518110, China.
Xinfang PanDepartment of Anesthesiology, the Second Affiliated Hospital of Suzhou University, Suzhou, 215000, China.
Xiangtao WuDepartment of Pediatric Intensive Care Unit, the First Affiliated Hospital of Xinxiang Medical University, Xinxiang, 453100, China.
Bin DengDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Zhifeng LiDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Bota CuiMedical Center for Digestive Diseases, the Second Affiliated Hospital of Nanjing Medical University, 121 Jiang Jia Yuan, Nanjing, 210011, China. cuibota@njmu.edu.cn.
Faming ZhangMedical Center for Digestive Diseases, the Second Affiliated Hospital of Nanjing Medical University, 121 Jiang Jia Yuan, Nanjing, 210011, China. fzhang@njmu.edu.cn.ORCID 0000-0003-4157-1144
Second Affiliated Hospital of Nanjing Medical University · CNSouthern Medical University Shenzhen Hospital · CNNanjing University of Chinese Medicine · CNSoochow University · CNWuhan University · CNAnhui Medical University · CNFirst Affiliated Hospital of Xinxiang Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNGuangxi Medical University · CNHubei University of Medicine · CNJiangsu University · CNLiuzhou General Hospital · CNPeople's Liberation Army 401 Hospital · CNWenzhou Medical University · CN

Funding

China Clinical Research Center for Digestive Diseases 2015BAI13B07Intestine Initiative Foundation -Jiangsu Provincial Medical Innovation Team -National Natural Science Foundation of China 81600417Primary Research & Development Plan of Jiangsu Province BE2018751
6 · The paper itself

Abstract

backgroundAntibiotic-associated diarrhea (AAD) is a risk factor for exacerbating the outcome of critically ill patients. Dysbiosis induced by the exposure to antibiotics reveals the potential therapeutic role of fecal microbiota transplantation (FMT) in these patients. Herein, we aimed to evaluate the safety and potential benefit of rescue FMT for AAD in critically ill patients.

methodsA series of critically ill patients with AAD received rescue FMT from Chinese fmtBank, from September 2015 to February 2019. Adverse events (AEs) and rescue FMT success which focused on the improvement of abdominal symptoms and post-ICU survival rate during a minimum of 12 weeks follow-up were assessed.

resultsTwenty critically ill patients with AAD underwent rescue FMT, and 18 of them were included for analysis. The mean of Acute Physiology and Chronic Health Evaluation (APACHE) II scores at intensive care unit (ICU) admission was 21.7 ± 8.3 (range 11-37). Thirteen patients received FMT through nasojejunal tube, four through gastroscopy, and one through enema. Patients were treated with four (4.2 ± 2.1, range 2-9) types of antibiotics before and during the onset of AAD. 38.9% (7/18) of patients had FMT-related AEs during follow-up, including increased diarrhea frequency, abdominal pain, increased serum amylase, and fever. Eight deaths unrelated to FMT occurred during follow-up. One hundred percent (2/2) of abdominal pain, 86.7% (13/15) of diarrhea, 69.2% (9/13) of abdominal distention, and 50% (1/2) of hematochezia were improved after FMT. 44.4% (8/18) of patients recovered from abdominal symptoms without recurrence and survived for a minimum of 12 weeks after being discharged from ICU.

conclusionIn this case series studying the use of FMT in critically ill patients with AAD, good clinical outcomes without infectious complications were observed. These findings could potentially encourage researchers to set up new clinical trials that will provide more insight into the potential benefit and safety of the procedure in the ICU.

trial registrationClinicalTrials.gov, Number NCT03895593 . Registered 29 March 2019 (retrospectively registered).

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAPACHEChildChild, PreschoolChinaCritical IllnessDiarrheaDysbiosisFecal Microbiota TransplantationFemaleHumansMaleAnti-Bacterial AgentsAntibiotic-associated diarrheaClostridium difficileCritical careFecal microbiota transplantationInfectionsIntensive care unitMultidrug resistanceRescue therapy

Identifiers

PMID31639033
PMCPMC6805332
OpenAlexW2980822759

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.