Indications:Severe intestinal infections, including Clostridium difficile infection, pseudomembranous colitis resulted from pathogens unidentified because of limited test condition, multiple-resistant bacteria infection.

 

Candidates for FMT:Hospitalized patients who are from all kinds of hospitals all over China, meeting the indications above, can not control the infection by conventional treatment and not suitable to be transferred.

 

The fmtBank rescue process (see flow chart):

1. Clinicians determine the necessity of FMT based on the condition of patients;

2. Submit application to fmtbank for rescue treatment with patients’ disease information;

3. Fmtbank experts will communicate with the attending doctor in time on the patient’ s condition, and determine whether it’s necessary to provide rescue after assessment.;

4. After the application is verified, the clinician should let the patient or his/her authorized relatives fully informed and sign informed consent form;

5. Fmtbank will start an emergency rescue plan immediately to provide the treating physician with frozen fecal bacteria;

6. The wormed fecal suspension can be administered to the patient’s colon or small intestine through the endoscopy, jejunum, colon tube, fistula, enema or other routes according to the instructions provided by fmtBank.

7. Observe the patients after FMT and contact with fmtBank experts in time if there’s any problem before, within or after the procedure of FMT.

 

An example

 In a prefecture-level hospital A, one patient got a pelvic fractureand suffered from severe intestinal infection during the treatment. Considering it was inappropriate to transfer this patients to another hospital, the clinician contacted with the hospital B which can carry out FMT via www.fmtbank.org. Then the expert C, who is from the Second Affiliated Hospital of Nanjing Medical University, assessed this patient’s condition and determined the necessity of FMT. The clinician let the patient or his authorized relatives fully informed and sign informed consent form. The clinician selected an appropriate time to deliver the fecal suspension to the patient’s colon or small intestine through the endoscopy, jejunum, colon tube, fistula, enema or other routes. After FMT, the clinician evaluate the safety and clinical response.


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