Table 2.
Proposed contraindications to donation for fecal microbiota transplantation
Risk Factor/Condition | Absolute or Relative Contraindication |
---|---|
Known HIV or viral hepatitis infection or recent exposure (12 mo) | Absolute |
High-risk sexual behaviors (sexual contact with someone infected with HIV/viral hepatitis, men who have sex with men, sex for money) | Absolute |
Use of illicit drugs | Relative (can consider if in remission and in distant past) |
Recent tattoo or body piercing (12 mo) | Relative |
Incarceration or history of incarceration | Relative |
Risk factors for Creutzfeldt-Jakob disease | Absolute |
Recent travel (6 mo) to regions where endemic diarrheal illness is prevalent | Relative |
Past or present irritable bowel syndrome, inflammatory bowel disease, or gastrointestinal malignancy/known polyposis | Absolute |
Recent antibiotic use (3–6 mo or more) | Absolute (consider delaying FMT if able and another donor unavailable) |
Ingestion of allergen with known recipient allergy (eg, tree nuts) | Relative (delay FMT if recent ingestion and donor abstains) |
Others (eg, metabolic syndrome, major gastrointestinal surgery [such as gastric bypass], systemic autoimmune disease, atopic disorders [asthma, eczema, eosinophilic disorders of the gastrointestinal tract]) | Relative/unknown |