Use of frozen native feces for fecal microbiota transplantation in recurrent Clostridioides difficile infection: a simple way to improve the efficiency of donor feces preparation

Author:

Sintes Rachel1234ORCID,McLellan Paul2345,Navelli Gabriele1234,Landman Cécilia2345,Delage Sandrine1234,Truong Sandrine2345,Benech Nicolas46,Kapel Nathalie2347,Moreino Sabater Alicia2348,Schnuriger Aurélie2349ORCID,Eckert Catherine23410,Bleibtreu Alexandre23411,Joly Anne-Christine1234,Sokol Harry234512ORCID

Affiliation:

1. Department of Pharmacy, Sorbonne Université, AP-HP, Saint-Antoine Hospital, Paris, France

2. Assistance Publique-Hopitaux de Paris (AP-HP) FMT Center, Paris, France

3. Paris Center for Microbiome Medicine (PaCeMM) FHU, Paris, France

4. French Group for Fecal Microbiota Transplantation (GFTF), Paris, France

5. Department of Gastroenterology, Sorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, Saint-Antoine Hospital, Paris, France

6. Department of Hepato-Gastroenterology, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France

7. Functional Coprology Laboratory, APHP, Pitié Salpêtrière Hospital and Université Paris Cité, INSERM UMRS-1139, Centre d'Immunologie et des Maladies Infectieuses, (CIMI-PARIS), Inserm U1135, Sorbonne Université, Paris, France

8. Sorbonne Université, APHP, National Institute of Health and Medical Research, Center for Immunology and Infectious Diseases-Paris, Saint Antoine Hospital, Parasitology-Mycology, Paris, France

9. Sorbonne Université, AP-HP, Saint-Antoine Hospital, Virology, Paris, France

10. Sorbonne Université, AP-HP, Saint-Antoine Hospital, Bacteriology et Centre d'Immunologie et des Maladies Infectieuses, INSERM, U1135, Sorbonne Université, Paris, France

11. Department of Infectious Disease, Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Paris, France

12. Université Paris-Saclay, INRAE, AgroParisTech, Micalis Institute, Jouy-en-Josas, France

Abstract

ABSTRACT Preparing fecal microbiota transplants immediately after donation is resource-intensive, and a proportion are destroyed following abnormal screening results. We retrospectively compared two processes, frozen fecal preparation (FFP) and fresh native frozen preparation (FNFP), for clinical efficacy in the treatment of recurrent Clostridioides difficile infection (rCDI). FFP and FNFP were similarly effective with clinical success rates of 76.7% and 86.7% ( P = 0.32), respectively. FNFP is an efficient procedure that saves resources while maintaining clinical efficacy in rCDI.

Funder

Société Nationale Francaise de Gastro Enterologie

Société de Pathologie Infectieuse de Langue Francase

Publisher

American Society for Microbiology

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