Vancomycin Taper and Risk of Failure of Fecal Microbiota Transplantation in Patients With Recurrent Clostridium difficile Infection
Author(s) -
Roberto L. Patron,
Carlos Hartmann,
Sorcha Allen,
Cheryl L. Griesbach,
Heidi E. Kosiorek,
John K. DiBaise,
Robert Orenstein
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix511
Subject(s) - clostridium difficile , medicine , odds ratio , vancomycin , fecal bacteriotherapy , confidence interval , risk factor , transplantation , cohort study , surgery , gastroenterology , antibiotics , microbiology and biotechnology , genetics , bacteria , biology , staphylococcus aureus
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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