Fecal microbiota transplantation for the treatment of recurrent Clostridioides difficile (Clostridium difficile).

Nathan Zev Minkoff, Scheherzade Aslam, Melissa Medina,Emily E Tanner-Smith,Joseph P Zackular,Sari Acra,Maribeth R Nicholson,Aamer Imdad

Cochrane Database of Systematic Reviews(2023)

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摘要
In immunocompetent adults with rCDI, FMT likely leads to a large increase in the resolution of recurrent Clostridioides difficile infection compared to alternative treatments such as antibiotics. There was no conclusive evidence regarding the safety of FMT for the treatment of rCDI as the number of events was small for serious adverse events and all-cause mortality. Additional data from large national registry databases might be required to assess any short-term or long-term risks with using FMT for the treatment of rCDI. Elimination of the single study that included some immunocompromised people did not alter these conclusions. Due to the low number of immunocompromised participants enrolled, conclusions cannot be drawn about the risks or benefits of FMT for rCDI in the immunocompromised population.
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