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Updated: May 29, 2026

Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection
Published on: December 8, 2014
Treating Clostridium difficile infection with fecal microbiota transplantation
Johan S Bakken1, Thomas Borody, Lawrence J Brandt
1St Luke's Infectious Disease Associates, Duluth, Minnesota, USA.
Abstract:
Clostridium difficile infection is increasing in incidence, severity, and mortality. Treatment options are limited and appear to be losing efficacy. Recurrent disease is especially challenging; extended treatment with oral vancomycin is becoming increasingly common but is expensive. Fecal microbiota transplantation is safe, inexpensive, and effective; according to case and small series reports, about 90% of patients are cured. We discuss the rationale, methods, and use of fecal microbiota transplantation.
Insights
Clostridium difficile infection (CDI) is a growing threat with limited treatments. Fecal microbiota transplantation (FMT) offers a safe, inexpensive, and highly effective cure for recurrent CDI.
Area of Science:
- Microbiology
- Infectious Diseases
- Gastroenterology
Background:
- Clostridium difficile infection (CDI) incidence, severity, and mortality are rising.
- Existing CDI treatment options are limited and decreasing in effectiveness.
- Recurrent CDI presents a significant clinical challenge, with extended vancomycin treatment being costly.
Purpose of the Study:
- To discuss the rationale, methods, and application of fecal microbiota transplantation (FMT) for treating Clostridium difficile infection.
- To highlight FMT as a viable alternative to conventional therapies for recurrent CDI.
Main Methods:
- Review of existing literature on fecal microbiota transplantation for CDI.
- Discussion of the procedural aspects and underlying scientific principles of FMT.
Main Results:
- Fecal microbiota transplantation (FMT) has demonstrated a cure rate of approximately 90% in case and small series reports.
- FMT is considered safe, inexpensive, and effective for managing recurrent CDI.
Conclusions:
- Fecal microbiota transplantation is a promising and highly effective treatment for recurrent Clostridium difficile infection.
- FMT represents a cost-effective and safe therapeutic strategy compared to prolonged antibiotic use.
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