Vancomycin Taper and Risk of Failure of Fecal Microbiota Transplantation in Patients With Recurrent Clostridium difficile Infection.

Patron, Roberto L; Hartmann, Carlos A; Allen, Sorcha; Griesbach, Cheryl L; Kosiorek, Heidi E; DiBaise, John K; Orenstein, Robert · Clin Infect Dis · 2017

retrospective_cohort · Level III

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Abstract

We retrospectively analyzed a cohort of 109 subjects treated for recurrent Clostridium difficile infection with fecal microbiota transplantation (FMT) at a tertiary referral center between 2011 and 2014 to determine risk factors for FMT failure. In a multivariate analysis, failure to use an oral vancomycin taper preceding FMT was associated with a significant risk of FMT failure (odds ratio, 0.15; 95% confidence interval, .007-.40).

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