Evidence map›Paper›PMID 33136261›Full record

ArticleInfectious diseases and therapy2021

rUTI Resolution After FMT for Clostridioides difficile Infection: A Case Report.

Andrea Aira, Elisa Rubio, Andrea Vergara Gómez, Csaba Fehér, Climent Casals-Pascual, Begoña González, Laura Morata, Verónica Rico, Alex Soriano

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.5field-weighted citation impact, top 22% 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.

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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Fecal microbiota transplant as treatment for recurrent urinary tract infections: a proof-of-concept study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Urinary Tract Infection and Microbiome.Diagnostics (Basel, Switzerland) · 2023
    Review
  11. Review
  12. Article
  13. Transmission of Antibiotic-SusceptibleOpen forum infectious diseases · 2022
    Article
  14. Review
  15. Review
  16. Review
  17. 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

9 authors at 1 institution in 1 country.

Andrea AiraDepartment of Infectious Diseases, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0001-6262-1505
Elisa RubioDepartment of Microbiology, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0002-2556-8837
Andrea Vergara GómezDepartment of Microbiology, CDB, Hospital Clinic, University of Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-5046-4490
Csaba FehérDepartment of Infectious Diseases, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0001-6679-493X
Climent Casals-PascualDepartment of Microbiology, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0002-0867-8954
Begoña GonzálezDepartment of Gastroenterology, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0001-9566-5993
Laura MorataDepartment of Infectious Diseases, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0001-5795-0814
Verónica RicoDepartment of Infectious Diseases, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0003-3930-0628
Alex SorianoDepartment of Infectious Diseases, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain. asoriano@clinic.cat.ORCID http://orcid.org/0000-0002-9374-0811
Hospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridioides difficile infection (CDI) is the leading cause of nosocomial infectious diarrhea. Fecal microbiota transplantation (FMT) is a successful treatment for recurrent CDI (rCDI), and in some patients FMT has been associated with the resolution of recurrent urinary tract infections (rUTI). Recent evidence suggests that the origin of most bacterial infections in the urinary tract is the gut. Thus, the possibility of using FMT to displace pathogens commonly involved in rUTIs has major therapeutic implications. We report the case of a 93-year-old female patient with a rCDI and rUTI that underwent FMT and reported a complete clinical resolution of CDI; unexpectedly, no new symptomatic UTI episodes were diagnosed post-FMT. We characterized the gut microbiota of the stool donor and of the patient before and after the procedure. Our patient presented a dysbiosis with clear predominance of Enterobacteriaceae (74%) before FMT, which was significantly reduced to 0.07% after FMT. These findings were maintained for almost a year. We also observed an increase in microbial diversity indices compared with the pre-FMT sample reaching diversity values comparable to the donor stool samples. We reasoned that the disappearance of UTIs in our patient resulted from the reduction of Enterobacteriaceae in the gut microbiota. Our findings support previous evidence suggesting the potential of FMT for rUTI, particularly in cases due to multi-drug resistant pathogens where conventional antibiotic treatment is not an option.

Indexed as

Clostridioides difficile infectionFecal microbiota transplantationRecurrent urinary tract infection

Identifiers

PMID33136261
PMCPMC8116417
OpenAlexW3095027095

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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.