Skip Navigation LinksHome > March/April 2014 - Volume 37 - Issue 2 > Treatment of Recurrent Clostridium difficile Infection With...
Gastroenterology Nursing:
doi: 10.1097/SGA.0000000000000035
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Treatment of Recurrent Clostridium difficile Infection With Fecal Transplantation

Rabe, Stephanie M. ACNP-BC

Continued Education
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Abstract

Clostridium difficile infection is an increasingly common clinical challenge in hospitals and healthcare facilities. The infection often results in severe complications for the infected individual including relentless diarrhea, abdominal pain, dehydration, and mortality. Currently, there is a significant gap between research and practice in the management of recurrent Clostridium difficile infection, and treatment guidelines are limited. Numerous attempts at treating this infection have been made including the practice of fecal transplantation. A comprehensive literature search was conducted and 6 studies were reviewed to evaluate the safety and effectiveness of fecal transplantation as a modality in treating recurrent Clostridium difficile infection refractory to other treatment methodologies.The implementation of fecal transplantation is suggested to restore normal bowel flora in individuals with Clostridium difficile and rid patients of the infection. Additional studies have since revealed perceived barriers toward the implementation of this treatment modality, although it has shown promising results with success rates of 83%–100%. Further efficacy testing validation is needed in larger, prospective controlled trials to guide healthcare providers in the direction of a reliable, standardized treatment protocol for recurrent Clostridium difficile infection.

© 2014 Society of Gastroenterology Nurses and Associates.

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