Evidence map›Paper›PMID 34088413›Full record

ArticleMayo Clinic proceedings2021

Fecal Microbiota Transplantation for Recurrent C difficile Infection During the COVID-19 Pandemic: Experience and Recommendations.

Sahil Khanna, Aaron Tande, David T Rubin, Alexander Khoruts, Stacy A Kahn, Darrell S Pardi

Open access · bronzeAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Assuring safety of fecal microbiota transplantation in the COVID-19 era: A single-center experience.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  3. Article
  4. Article
  5. Diarrhea and Coronavirus Disease 2019 Infection.Gastroenterology clinics of North America · 2023
    Review
  6. The impact of the COVID-19 pandemic onTherapeutic advances in gastroenterology · 2023
    Review
  7. Frontiers in medicine · 2023
    Article
  8. Review
  9. Article
  10. Therapeutic advances in gastroenterology · 2022
    Article
  11. Article
  12. Article
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

6 authors at 6 institutions in 1 country.

Sahil KhannaGastroenterology and Hepatology, Mayo Clinic, Rochester, MN. Electronic address: khanna.sahil@mayo.edu.
Aaron TandeInfectious Diseases, Mayo Clinic, Rochester, MN.
David T RubinSection of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL.
Alexander KhorutsGastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN.
Stacy A KahnDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Darrell S PardiGastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Boston Children's Hospital · USMayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · USUniversity of Chicago · USUniversity of Minnesota · US

Funding

ULTRASTRUCTURE AND CYTOMORPHOLOGY COREP30DK042086 · NIDDK · UNIVERSITY OF CHICAGO · PI LIU, CAMBRIAN YANGSHAO · 1990 to 2025
$29.8M
Fecal Microbiota Transplant National RegistryR24AI118629 · NIAID · AMERICAN GASTROENTEROLOGICAL ASSN/INST · PI Colleen Renee Kelly, LOREN A. LAINE · 2016 to 2026
$7.0M
NIAID NIH HHS R24 AI118629NIDDK NIH HHS P30 DK042086
6 · The paper itself

Abstract

objectiveTo report experience with fecal microbiota transplantation (FMT) for recurrent Clostridioides difficile infection (rCDI) and provide recommendations for management of rCDI and donor testing during the COVID-19 pandemic.

methodsA retrospective study of patients with rCDI who underwent FMT from May 26, 2020, to September 30, 2020, with stool from well-screened donors with health and infectious screening and a newly implemented strategy for COVID-19 screening with every 2-week bookend testing with stool quarantine. Patients were followed up for development of rCDI and COVID-19.

resultsOf the 57 patients who underwent FMT for rCDI, 29 were tested for COVID-19 via nasopharyngeal polymerase chain reaction (PCR) and 22 via serology. All results were negative, except for 1 positive serology. Donor testing every 2 weeks for COVID-19 via serology and nasopharyngeal swab PCR was negative, except for 2 donors at 1 center who were excluded. Three patients had rCDI after FMT, and 1 underwent repeat FMT. One patient developed respiratory symptoms suggestive of COVID-19 and tested negative via nasopharyngeal PCR. Eleven patients who underwent COVID-19 testing for elective procedures or hospitalizations tested negative. No SARS-CoV-2 transmission was noted.

conclusionsWith appropriate donor screening, FMT can be performed safely for rCDI during the COVID-19 pandemic. Development of a validated stool assay for SARS-CoV-2 will simplify this process further.

Indexed as

Clostridioides difficileFecal Microbiota TransplantationAdultAgedAged, 80 and overClostridium InfectionsCOVID-19FemaleHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2Young Adult

Identifiers

PMID34088413
PMCPMC8169126
OpenAlexW3164522644

What OpenQuestion holds

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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.