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. 2021 Mar 9;9(2):229–247. doi: 10.1177/2050640620967898

TABLE 3.

Validated standardised conditions for processing of FMT suspensions and treatment of patients with recurrent Clostridioides difficile infection

Processing of FMT suspensions
Amount of faeces 50 g a
Processing Aerobic or anaerobic
Diluent NaCl 0.9%
Cryoprotectant Glycerol 10%
End volume 50–60 g: 200 cc
25–30 g: 100 cc
Storage −80°C, maximum 2 years
Timeframe between collection and storage <6 h (rapid processing preferred)
Treatment of patients
FMT preparation Frozen stool banked preparation
Pretreatment of patient 4–10 Days vancomycin 125–250 mg qid (or fidaxomicin 200 mg bid)
Stop >24 h before FMT
Bowel lavage with macrogol on day before FMT (Not necessary in case of capsule administration) b
Colonoscopy
Nasoduonal tube (infusion 10–25 cc/minute)
Capsules, if established protocol

Abbreviations: CDI, Clostridioides difficile infection; FMT, faecal microbiota transplantation.

a

Suspensions made of 25‐g donor faeces may even suffice, but require validation. 25 , 26 , 27

b

For upper gastrointestinal delivery for treatment of CDI, bowel lavage could be limited to 50% of the advised dose for colonoscopy cleansing.