Quality of life among older patients receiving faecal microbiota transplant for Clostridioides difficile infection

Author:

Birn Frederik Hyllested1,Wester Signe Rigmor2,Andreasen Sara Ellegaard3,Hvas Christian Lodberg4,Bager Palle5

Affiliation:

1. Registered Nurse and Research Assistant; Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark

2. Registered Nurse; Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark

3. Medical Doctor; Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark

4. Consultant Gastroenterologist and Professor; Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark

5. Clinical Nurse Specialist and Associate Professor; Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark

Abstract

Background: Faecal microbiota transplantation (FMT) has mainly been studied in quantitative research to investigate effect rates. However, there is a lack of qualitative studies to explore patient perspectives. Aim: To explore perceptions of quality of life in older patients with Clostridioides difficile infection (CDI) at least 1 week after receiving FMT. Method: A qualitative study examining quality of life for patients treated with FMT. Findings: Patients with a permanent or transient treatment effect experienced an increase in quality of life in the physical, psychological and social domains. However, patients who did not respond to the treatment experienced negative impacts on their psychological, physical, and social domains. Although patients found the content unappealing, none had reservations about receiving the treatment. Conclusion: This study highlights the importance of considering the psychological, social and physical wellbeing of patients when assessing the efficacy of FMT as a treatment option for patients with CDI. It further emphasises the importance of health professionals identifying patients' individual ways of handling the disease and everyday life to improve their quality of life

Publisher

Mark Allen Group

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