Bacterial Peritonitis, Faeces Smearing, Microbial Colonization
Conditions
Keywords
XDR, fecal microbiota transplant, eradicate, colonization, CRE, GRE, bacteria
Brief summary
Our trial try to eradicate digestive tract colonization of patient harboring Extreme Drug Resistant (XDR) bacteria by performing a fecal transplantation.
Detailed description
Main objective: Evaluate the eradication of the colonization of patient harboring XDR bacteria after a fecal transplantation from a healthy donor. Secondary objectives: English Evaluate the side effects of this procedure and tolerability. Evaluate the efficacy of the transplant if the patient is harboring glycopeptid resistant enteroccus (GRE) or carbapenem resistant enterobacteriae (CRE)
Interventions
We will perform a fecal microbiota transplant for patients harboring XDR bacteria in their digestive tract
Sponsors
Study design
Intervention model description
Pilot study of patients colonized by either CRE or GRE will be enrolled in order to evaluate the impact of fecal microbiota transplant on the eradication of XDR bacteria colonization
Eligibility
Inclusion criteria
* Patient harboring a VRE or CRE bacteria * Colonization confirmed by our microbiology department, including at least 3 positives swabs in the last month
Exclusion criteria
* Pregnant woman or breastfeeding * immunosuppression including AIDS, corticosteroids over 60mg/day * ongoing antibiotic treatment at the day of inclusion * impossibility to obtain a signed consent form.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Negativation of digestive tract colonization | At one week, 2 weeks, one month up to 6 months | Negativation of the rectal swab performed, free from CRE or GRE |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Metagenomics profile between donor and recipient depending on decolonization | At one week, 2 weeks, one month up to 3 months | Study with a universal super donor in order to improve efficacy |
Countries
France