Evidence map›Paper›PMID 35298520›Full record

ArticlePloS one2022

How to prepare stool banks for an appropriate response to the ongoing COVID-19 pandemic: Experiences in the Netherlands and a retrospective comparative cohort study for faecal microbiota transplantation.

Bas Groenewegen, Emilie van Lingen, Rogier E Ooijevaar, Els Wessels, Mariet C W Feltkamp, Eline Boeije-Koppenol, Hein W Verspaget, Ed J Kuijper, Joffrey van Prehn, Josbert J Keller and 2 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Significant Increase inGastro hep advances · 2026
    Article
  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 · 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

12 authors at 2 institutions in 1 country.

Bas GroenewegenDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Emilie van LingenDepartment of Gastroenterology and Hepatology, LUMC, Leiden, The Netherlands.
Rogier E OoijevaarDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centers, VU University Medical Center, Amsterdam, The Netherlands.
Els WesselsDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Mariet C W FeltkampDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Eline Boeije-KoppenolDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Hein W VerspagetDepartment of Gastroenterology and Hepatology, LUMC, Leiden, The Netherlands.
Ed J KuijperDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Joffrey van PrehnDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Josbert J KellerDepartment of Gastroenterology and Hepatology, LUMC, Leiden, The Netherlands.
Elisabeth M TerveerDepartment of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.ORCID 0000-0002-1994-5421
Study Group of the Netherlands Donor Feces Bank
Leiden University Medical Center · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFaecal microbiota transplantation (FMT) is an efficacious treatment for patients with recurrent Clostridioides difficile infections (rCDI). Stool banks facilitate FMT by providing screened faecal suspensions from highly selected healthy donors. Due to the ongoing coronavirus disease 2019 (COVID-19) pandemic and the potential risk of SARS coronavirus-2 (SARS-CoV-2) transmission via FMT, many stool banks were forced to temporarily halt and adjust donor activities. GOAL: The evaluation of a strategy to effectively continue stool banking activities during the ongoing COVID-19 pandemic. STUDY: To restart our stool banking activities after an initial halt, we implemented periodic SARS-CoV-2 screening in donor faeces and serum, and frequent donor assessment for COVID-19 related symptoms. FMT donor and recipient data obtained before (2016-2019) and during the COVID-19 pandemic (March 2020-August 2021) were compared to assess stool banking efficacy.

resultsTwo out of ten donors developed COVID-19. No differences during versus before the COVID-19 pandemic were observed in the number of approved faeces donations (14 vs 22/month, p = 0.06), FMT requests for rCDI (3.9 vs 4.3/month, p = 0.6); rCDI patients eligible for FMT (80.6% vs 73.3%, p = 0.2); rCDI cure rate (90.3% vs 89.2%, p = 0.9); CDI-free survival (p = 0.7); the number of non-rCDI patients treated with FMT (0.5/month vs 0.4/month), and the number of possibly FMT related adverse events (9.5% vs 7.8%, p = 0.7). Two FMTs for rCDI were delayed due to COVID-19.

conclusionsThere is a continued need for FMT treatment of rCDI during the COVID-19 pandemic. Appropriate donor screening and SARS-CoV-2 infection prevention measures can be implemented in existing protocols without increasing the burden for donors, and allow safe, effective and efficient FMT during the ongoing COVID-19 pandemic. Stool banks should evaluate their SARS-CoV-2 donor screening protocols for long-term sustainability and efficacy, and share their experiences to help the utilisation, standardisation and improvement of stool banks worldwide.

Indexed as

Tissue BanksAgedClostridium InfectionsCOVID-19Fecal Microbiota TransplantationFecesFemaleHumansMaleNetherlandsRetrospective StudiesSARS-CoV-2

Identifiers

PMID35298520
PMCPMC8929558
OpenAlexW4221074344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.