Allogenic faecal microbiota transplantation for antibiotic-associated diarrhoea in critically ill patients (FEBATRICE)–Study protocol for a multi-centre randomised controlled trial (phase II)
2024

Faecal Microbiota Transplant for Diarrhoea in Critically Ill Patients

Sample size: 36 publication Evidence: moderate

Author Information

Author(s): Cibulkova Ivana, Rehorova Veronika, Soukupova Hana, Waldauf Petr, Cahova Monika, Manak Jan, Matejovic Martin, Duska Frantisek

Primary Institution: Kralovske Vinohrady University Hospital, Prague, Czech Republic

Hypothesis

We hypothesise that FBT will be feasible as first-line treatment of postantibiotic diarrhoea in the critically ill, including those with uncomplicated CDI.

Conclusion

The study aims to evaluate the effectiveness of faecal microbiota transplantation in treating antibiotic-associated diarrhoea in critically ill patients.

Supporting Evidence

  • Faecal microbiota transplantation has been effective for dysbiosis in non-critically ill patients.
  • Animal experiments suggest FMT may reduce colonization with multi-drug resistant bacteria.
  • Current standard treatments for antibiotic-associated diarrhoea lack robust evidence.

Takeaway

This study is testing if giving healthy stool to sick patients can help them stop having diarrhea caused by antibiotics.

Methodology

This is a prospective, multi-centre, randomized controlled trial with a 1:1 ratio of intervention to control groups.

Potential Biases

There is a risk of bias due to the unblinded nature of the study.

Limitations

The study may not account for all potential complications of FMT in critically ill patients.

Participant Demographics

Critically ill patients aged over 18 years with antibiotic-associated diarrhoea.

Digital Object Identifier (DOI)

10.1371/journal.pone.0310180

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