粪便微生物群移植治疗后,复发性艰难梭菌感染患者与健康相关的生活质量得到改善。

Cecilia Magnusson, Elis Ölfvingsson, Henrik Hjortswang, Åse Östholm, Lena Serrander
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引用次数: 0

摘要

背景:艰难梭菌是医疗系统和患者的主要负担。粪便微生物群移植(FMT)作为一种治疗方法正变得越来越普遍,因为它能降低艰难梭菌复发感染(rCDI)的风险:评估粪便菌群移植治疗如何影响艰难梭菌感染(rCDI)患者的健康相关生活质量(HRQoL):方法:开展了一项前瞻性观察性队列研究,要求接受 FMT 治疗的 rCDI 患者在治疗前后填写一份基于简易健康量表(SHS)和欧洲量表(EQ-5D-5L)的有关其 HRQoL 的问卷:结果:rCDI 患者的 HRQoL 较差,但在 FMT 治疗后有所改善:结论:由于 FMT 可治愈 CDI,降低 CDI 复发风险,改善患者的 HRQoL,因此应作为一种治疗方法提供给 rCDI 患者。此外,SHS 是测量 rCDI 患者 HRQoL 的一种有用而可靠的工具。
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Improved health-related quality of life in patients with recurrent Clostridioides difficile infection after treatment with faecal microbiota transplantation.

Background: Clostridioides difficile is a major burden for both healthcare systems and the patients. Faecal microbiota transplantation (FMT) is becoming more common as a treatment since it reduces the risk of recurrent Clostridioides difficile infection (rCDI).

Objectives: To evaluate how treatment with FMT is affecting the health-related quality of life (HRQoL) in patients with rCDI.

Methods: A prospective observational cohort study was conducted where patients who were offered FMT as a treatment for rCDI were asked to fill in a questionnaire based on the Short Health Scale (SHS) and EuroQol 5-Dimensions 5-Levels (EQ-5D-5L) about their HRQoL before and after treatment.

Results: Patients with rCDI had poor HRQoL, which improved following FMT.

Conclusions: Since FMT cures, reduces the risk of new recurrences of CDI and improves the HRQoL of the patients, it should be offered as a treatment for patients with rCDI. Also, SHS is a useful and reliable instrument for measuring HRQoL in patients with rCDI.

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