Table 1.
Screening tests for potentially transmissible infectious pathogens in donors and recipients undergoing fecal microbiota transplantation
Pathogen/Infection | Usual Tests | Recipient, Donor, or Both |
Part of Routine or Extended Screening |
---|---|---|---|
Hepatitis A/B/C | Serum antibodies; serum PCR | Both | Routine |
HIV | Third- or fourth-generation serum ELISA; serum RNA PCR if recent seroconversion possible | Both | Routine |
Syphilis | Nontreponemal serum test followed by treponemal confirmatory test if positive (eg, serum RPR followed by TP-PA) | Both | Routine |
Enteric bacterial pathogens (Salmonella species, E coli, Shigella species, and others) | Routine stool culture | Donor | Routine |
Enteric helminths and protozoa | Stool microscopy for ova and parasites; antigen ELISAs for Giardia and Cryptosporidium species | Donor | Routine |
Clostridium difficile | Stool EIA for bacterial products and/or PCR | Donor | Routine |
Epstein-Barr virus | Serum antibodies; PCR | Both | Extended (HSCT and SOT patients) |
Cytomegalovirus | Serum antibodies; PCR | Both | Extended (HSCT and SOT patients) |
Others (Helicobacter pylori, HTLV, and many others) | Various tests | Usually donor only | Extended (research protocols) |