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Updated: Oct 19, 2025

Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection
Published on: December 8, 2014
The Italian National Faecal Microbiota Transplantation Program: a coordinated effort against Clostridioides difficile
Maria Chiara de Stefano1, Benedetta Mazzanti1, Francesca Vespasiano1
1Centro Nazionale Trapianti, Istituto Superiore di Sanità, Rome, Italy.
Recurrent Clostridioides difficile infection (rCDI) is challenging to treat. The Italian National FMT Program offers a promising alternative therapy for rCDI, showing progress even during the COVID-19 pandemic.
Area of Science:
- Gastroenterology and Infectious Diseases
- Microbiome Therapeutics
Background:
- Clostridioides difficile infection (CDI) causes antibiotic-associated diarrhea, with high recurrence rates.
- Recurrent CDI (rCDI) presents a significant healthcare burden, often inadequately managed by conventional antibiotics.
Purpose of the Study:
- To outline the characteristics and progress of the Italian National FMT Program for adults with rCDI.
- To assess the program's performance and adaptability during the COVID-19 pandemic.
Main Methods:
- The Italian National FMT Program was established in 2018 to standardize fecal microbiota transplantation (FMT) for rCDI.
- Data collection and analysis focused on program implementation and outcomes amidst the pandemic.
Main Results:
- Fecal microbiota transplantation (FMT) has emerged as a successful alternative therapy for rCDI.
- The Italian National FMT Program demonstrated resilience and continued operation during the COVID-19 pandemic.
Conclusions:
- The Italian National FMT Program provides a high-quality standard for FMT in treating rCDI.
- FMT represents a viable and effective therapeutic strategy for recurrent C. difficile infection, even under challenging global health circumstances.
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