Intestinal microbiocenosis in patients with recurrent Clostridium difficile infection, ulcerative colitis and irritable bowel syndrome after transplantation of fecal microflora

Author:

Shrainer E. V.1ORCID,Khavkin A. I.2ORCID,Vlasov V. V.3

Affiliation:

1. Novosibirsk State University

2. Research and Clinical Institute of Pediatrics at the N.I. Pirogov Russian National Research Medical University

3. Scientific adviser of the Institute of Chemical Biology and Fundamental Medicine of the Siberian Branch of the Russian Academy of Sciences

Abstract

Identified significant changes in the intestinal microbiome in patients with inflammatory bowel disease (IBD), serve as the reason for therapeutic interventions in order to correct it. Faecal microbiota transplantation (TFM) is an effective treatment for recurrent or refractoryClostridium difficileinfections, including in patients with inflammatory bowel diseases receiving immunosuppressive and anticytokine therapy.The results of studying the effectiveness of TFM using a filtered aqueous suspension of donors feces in the correction of intestinal microbiocenosis in patients with recurrent Clostridial infection (RCT), ulcerative colitis (UC) and irritable bowel syndrome (IBS) are presented. 2 weeks after the introduction of the supernatant, a suspension of fecal microorganism microorganisms in patients evaluated the dynamics of the total content of microorganisms and individual representatives of the intestinal microflora. It was found that the supernatant of an aqueous suspension of donor feces containing microbial exometabolites and other biologically active compounds in the short term has the most pronounced effect on the restoration of normal intestinal microflora only in patients with clostridial infection.

Publisher

LLC Global Media Technology

Subject

Gastroenterology,Hepatology

Reference42 articles.

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2. Shrainer E. V., Morozov V. V., Khavkin A. I., et al. Experience with transplantation of fecal microbiota in a patient with clostridial infection. Experimental and clinical gastroenterology. 2018. No 12 (160), pp. 80-83. DOI: 10.31146/1682-8658-ecg-160-12-80-83

3. Khavkin A. I., Shrainer E. V., Denisov M. Yu., Derovs A. A., Gorelova Yu. S. Transplantation of fecal microflora in inflammatory bowel diseases in children: experience and prospects. Questions of practical pediatrics. 2018. Vol. 13, No. 3, pp. 20-28. DOI: 10.20953/1817-76462018-3-20-28

4. Khavkin A. I., Alyoshkin A. V., Zeigarnik M. V. Prospects for phage therapy for diseases of the digestive system in children. Questions of practical pediatrics. 2018, Vol. 13, No. 4, pp. 82-90. DOI: 10.20953/1817-7646-20184-82-90

5. Kornienko E. A., Khavkin A. I., Fedulova E. N., et al. Draft recommendations of the Russian Society of Pediatric Gastroenterologists, Hepatologists and Nutritionists on the Diagnosis and Treatment of Crohn's Disease in Children. Experimental and clinical gastroenterology. 2019. No 11 (171), pp. 100-134. DOI: 10.31146/1682-8658-ecg-171-11-100-134.

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