How to: Establish and run a stool bank

E M Terveer*, Y H van Beurden, A Goorhuis, J F M L Seegers, M P Bauer, E van Nood, M G W Dijkgraaf, C J J Mulder, C M J E Vandenbroucke-Grauls, H W Verspaget, J J Keller, E J Kuijper*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

133 Citations (Scopus)

Abstract

BACKGROUND: Since 2013, several stool banks have been developed following publications reporting on clinical success of 'faecal microbiota transplantation' (FMT) for recurrent Clostridium difficile infections (CDI). However, protocols for donor screening, faecal suspension preparation, and transfer of the faecal suspension differ between countries and institutions. Moreover, no European consensus exists regarding the legislative aspects of the faecal suspension product. Internationally standardized recommendations about the above mentioned aspects have not yet been established.

OBJECTIVE: In 2015, the Netherlands Donor Feces Bank (NDFB) was founded with the primary aim of providing a standardized product for the treatment of patients with recurrent CDI in the Netherlands. Standard operation procedures for donor recruitment, donor selection, donor screening, and production, storage, and distribution of frozen faecal suspensions for FMT were formulated.

RESULTS AND DISCUSSION: Our experience summarized in this review addresses current donor recruitment and screening, preparation of the faecal suspension, transfer of the faecal microbiota suspension, and the experiences and follow-up of the patients treated with donor faeces from the NDFB.

Original languageEnglish
Pages (from-to)924-930
Number of pages7
JournalClinical Microbiology and Infection
Volume23
Issue number12
Early online date18 May 2017
DOIs
Publication statusPublished - 1 Dec 2017
Externally publishedYes

Bibliographical note

Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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