Current Challenges in Fecal Microbiota Transplantation for Clostridioides difficile Infection in Children.

Nicholson, Maribeth R; Hourigan, Suchitra K; Conrad, Maire; Goyal, Alka; Jensen, Kyle; Kelsen, Judith; Kennedy, Melissa; Weatherly, Madison et al. · Am J Gastroenterol · 2021

cross_sectional · Level IV

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Abstract

The impact of the 2019 US Food and Drug Administration safety alert involving transmission of multidrug resistant organisms through fecal microbiota transplantation (FMT), and the COVID-19 pandemic on the use of FMT in children, is unknown. A survey of pediatric gastroenterologists performing FMT for Clostridioides difficile infection was conducted. Of 36 respondents, 17 (47%) and 30 (83%) changed their FMT practices related to the US Food and Drug Administration safety alert and COVID-19 pandemic, respectively, with 22 (61%) of programs halted. The US Food and Drug Administration safety alert and COVID-19 pandemic have substantially influenced the availability and access of FMT for children.

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