WillowV1, Main, Exploration, bibRecord, 000303

Australian consensus statements for the regulation, production and use of faecal microbiota transplantation in clinical practice.

Identifieur interne : 000303 ( Main/Exploration ); précédent : 000302; suivant : 000304

Australian consensus statements for the regulation, production and use of faecal microbiota transplantation in clinical practice.

Auteurs : Craig Haifer [Australie] ; Colleen R. Kelly [États-Unis] ; Sudarshan Paramsothy [Australie] ; David Andresen [Australie] ; Lito E. Papanicolas [Australie] ; Genevieve L. Mckew [Australie] ; Thomas J. Borody [Australie] ; Michael Kamm [Australie] ; Samuel P. Costello [Australie] ; Jane M. Andrews [Australie] ; Jakob Begun [Australie] ; Hiu Tat Chan [Australie] ; Susan Connor [Australie] ; Simon Ghaly [Australie] ; Paul Dr Johnson [Australie] ; Daniel A. Lemberg [Australie] ; Ramesh Paramsothy [Australie] ; Andrew Redmond [Australie] ; Harsha Sheorey [Australie] ; David Van Der Poorten [Australie] ; Rupert W. Leong [Oman, Australie]

Source :

Gut [ 1468-3288 ] ; 2020.

RBID : pubmed:32047093

Descripteurs français

KwdFr :
- Australie (MeSH), Consensus (MeSH), Femelle (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Infections à Clostridium (thérapie), Mâle (MeSH), Résultat thérapeutique (MeSH), Sélection de donneurs (MeSH), Transplantation de microbiote fécal (méthodes), Établissements de santé (statistiques et données numériques).
MESH :
- méthodes : Transplantation de microbiote fécal.
- statistiques et données numériques : Établissements de santé.
- thérapie : Infections à Clostridium.
- Australie, Consensus, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Mâle, Résultat thérapeutique, Sélection de donneurs.
Wicri :
- geographic : Australie.

English descriptors

KwdEn :
- Australia (MeSH), Clostridium Infections (therapy), Consensus (MeSH), Donor Selection (MeSH), Fecal Microbiota Transplantation (methods), Female (MeSH), Health Facilities (statistics & numerical data), Humans (MeSH), Male (MeSH), Practice Guidelines as Topic (MeSH), Treatment Outcome (MeSH).
MESH :
- geographic : Australia.
- methods : Fecal Microbiota Transplantation.
- statistics & numerical data : Health Facilities.
- therapy : Clostridium Infections.
- Consensus, Donor Selection, Female, Humans, Male, Practice Guidelines as Topic, Treatment Outcome.

Abstract

OBJECTIVE

Faecal microbiota transplantation (FMT) has proved to be an extremely effective treatment for recurrent

DESIGN

For these consensus statements, a 24-member multidisciplinary working group voted online and then convened in-person, using a modified Delphi approach to formulate and refine a series of recommendations based on best evidence and expert opinion. Invitations to participate were directed to Australian experts, with an international delegate assisting the development. The following issues regarding the use of FMT in clinical practice were addressed: donor selection and screening, clinical indications, requirements of FMT centres and future directions. Evidence was rated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.

RESULTS

Consensus was reached on 27 statements to provide guidance on best practice in FMT. These include: (1) minimum standards for donor screening with recommended clinical selection criteria, blood and stool testing; (2) accepted routes of administration; (3) clinical indications; (4) minimum standards for FMT production and requirements for treatment facilities acknowledging distinction between single-site centres (eg, hospital-based) and stool banks; and (5) recommendations on future research and product development.

CONCLUSIONS

These FMT consensus statements provide comprehensive recommendations around the production and use of FMT in clinical practice with relevance to clinicians, researchers and policy makers.

DOI: 10.1136/gutjnl-2019-320260
PubMed: 32047093

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Redmond, Andrew" sort="Redmond, Andrew" uniqKey="Redmond A" first="Andrew" last="Redmond">Andrew Redmond</name>
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<wicri:noRegion>South Australia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mckew, Genevieve L" sort="Mckew, Genevieve L" uniqKey="Mckew G" first="Genevieve L" last="Mckew">Genevieve L. Mckew</name>
<affiliation wicri:level="4"><nlm:affiliation>The University of Sydney, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Sydney, Sydney, New South Wales</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Concord Repatriation General Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Concord Repatriation General Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Borody, Thomas J" sort="Borody, Thomas J" uniqKey="Borody T" first="Thomas J" last="Borody">Thomas J. Borody</name>
<affiliation wicri:level="1"><nlm:affiliation>Centre for Digestive Diseases, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Digestive Diseases, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kamm, Michael" sort="Kamm, Michael" uniqKey="Kamm M" first="Michael" last="Kamm">Michael Kamm</name>
<affiliation wicri:level="1"><nlm:affiliation>St Vincent's Hospital, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>St Vincent's Hospital, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Melbourne, Melbourne, Victoria</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Costello, Samuel P" sort="Costello, Samuel P" uniqKey="Costello S" first="Samuel P" last="Costello">Samuel P. Costello</name>
<affiliation wicri:level="1"><nlm:affiliation>The Queen Elizabeth Hospital, Woodville, South Australia, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The Queen Elizabeth Hospital, Woodville, South Australia</wicri:regionArea>
<wicri:noRegion>South Australia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>BiomeBank, Adelaide, South Australia, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>BiomeBank, Adelaide, South Australia</wicri:regionArea>
<wicri:noRegion>South Australia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Andrews, Jane M" sort="Andrews, Jane M" uniqKey="Andrews J" first="Jane M" last="Andrews">Jane M. Andrews</name>
<affiliation wicri:level="1"><nlm:affiliation>Royal Adelaide Hospital, Adelaide, South Australia, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Adelaide Hospital, Adelaide, South Australia</wicri:regionArea>
<wicri:noRegion>South Australia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>The University of Adelaide, Adelaide, South Australia, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Adelaide, Adelaide, South Australia</wicri:regionArea>
<wicri:noRegion>South Australia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Begun, Jakob" sort="Begun, Jakob" uniqKey="Begun J" first="Jakob" last="Begun">Jakob Begun</name>
<affiliation wicri:level="1"><nlm:affiliation>The University of Queensland, Brisbane, Queensland, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Queensland, Brisbane, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Mater Hospital Brisbane, Brisbane, Queensland, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Mater Hospital Brisbane, Brisbane, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chan, Hiu Tat" sort="Chan, Hiu Tat" uniqKey="Chan H" first="Hiu Tat" last="Chan">Hiu Tat Chan</name>
<affiliation wicri:level="1"><nlm:affiliation>VCS Pathology, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>VCS Pathology, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Connor, Susan" sort="Connor, Susan" uniqKey="Connor S" first="Susan" last="Connor">Susan Connor</name>
<affiliation wicri:level="1"><nlm:affiliation>Liverpool Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Liverpool Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of New South Wales, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ghaly, Simon" sort="Ghaly, Simon" uniqKey="Ghaly S" first="Simon" last="Ghaly">Simon Ghaly</name>
<affiliation wicri:level="1"><nlm:affiliation>St Vincent's Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>St Vincent's Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of New South Wales, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Johnson, Paul Dr" sort="Johnson, Paul Dr" uniqKey="Johnson P" first="Paul Dr" last="Johnson">Paul Dr Johnson</name>
<affiliation wicri:level="4"><nlm:affiliation>The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Melbourne, Melbourne, Victoria</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Austin Hospital, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Austin Hospital, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lemberg, Daniel A" sort="Lemberg, Daniel A" uniqKey="Lemberg D" first="Daniel A" last="Lemberg">Daniel A. Lemberg</name>
<affiliation wicri:level="1"><nlm:affiliation>University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of New South Wales, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Sydney Children's Hospital Randwick, Randwick, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Paramsothy, Ramesh" sort="Paramsothy, Ramesh" uniqKey="Paramsothy R" first="Ramesh" last="Paramsothy">Ramesh Paramsothy</name>
<affiliation wicri:level="1"><nlm:affiliation>Blacktown Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Blacktown Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Redmond, Andrew" sort="Redmond, Andrew" uniqKey="Redmond A" first="Andrew" last="Redmond">Andrew Redmond</name>
<affiliation wicri:level="1"><nlm:affiliation>The University of Queensland, Brisbane, Queensland, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Queensland, Brisbane, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Brisbane and Women's Hospital, Brisbane, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sheorey, Harsha" sort="Sheorey, Harsha" uniqKey="Sheorey H" first="Harsha" last="Sheorey">Harsha Sheorey</name>
<affiliation wicri:level="1"><nlm:affiliation>St Vincent's Hospital, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>St Vincent's Hospital, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Van Der Poorten, David" sort="Van Der Poorten, David" uniqKey="Van Der Poorten D" first="David" last="Van Der Poorten">David Van Der Poorten</name>
<affiliation wicri:level="4"><nlm:affiliation>The University of Sydney, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Sydney, Sydney, New South Wales</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Westmead Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Westmead Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Leong, Rupert W" sort="Leong, Rupert W" uniqKey="Leong R" first="Rupert W" last="Leong">Rupert W. Leong</name>
<affiliation wicri:level="4"><nlm:affiliation>The University of Sydney, Sydney, New South Wales, Australia rupertleong@outlook.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>The University of Sydney, Sydney, New South Wales</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Concord Repatriation General Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Concord Repatriation General Hospital, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Gut</title>
<idno type="eISSN">1468-3288</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Australia (MeSH)</term>
<term>Clostridium Infections (therapy)</term>
<term>Consensus (MeSH)</term>
<term>Donor Selection (MeSH)</term>
<term>Fecal Microbiota Transplantation (methods)</term>
<term>Female (MeSH)</term>
<term>Health Facilities (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Practice Guidelines as Topic (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Australie (MeSH)</term>
<term>Consensus (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à Clostridium (thérapie)</term>
<term>Mâle (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sélection de donneurs (MeSH)</term>
<term>Transplantation de microbiote fécal (méthodes)</term>
<term>Établissements de santé (statistiques et données numériques)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fecal Microbiota Transplantation</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Transplantation de microbiote fécal</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Facilities</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Établissements de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Clostridium Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à Clostridium</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Consensus</term>
<term>Donor Selection</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Practice Guidelines as Topic</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Australie</term>
<term>Consensus</term>
<term>Femelle</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sélection de donneurs</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term>
</keywords>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Faecal microbiota transplantation (FMT) has proved to be an extremely effective treatment for recurrent </p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>For these consensus statements, a 24-member multidisciplinary working group voted online and then convened in-person, using a modified Delphi approach to formulate and refine a series of recommendations based on best evidence and expert opinion. Invitations to participate were directed to Australian experts, with an international delegate assisting the development. The following issues regarding the use of FMT in clinical practice were addressed: donor selection and screening, clinical indications, requirements of FMT centres and future directions. Evidence was rated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Consensus was reached on 27 statements to provide guidance on best practice in FMT. These include: (1) minimum standards for donor screening with recommended clinical selection criteria, blood and stool testing; (2) accepted routes of administration; (3) clinical indications; (4) minimum standards for FMT production and requirements for treatment facilities acknowledging distinction between single-site centres (eg, hospital-based) and stool banks; and (5) recommendations on future research and product development.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>These FMT consensus statements provide comprehensive recommendations around the production and use of FMT in clinical practice with relevance to clinicians, researchers and policy makers.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32047093</PMID>
<DateCompleted><Year>2020</Year>
<Month>11</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>11</Month>
<Day>03</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-3288</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>69</Volume>
<Issue>5</Issue>
<PubDate><Year>2020</Year>
<Month>05</Month>
</PubDate>
</JournalIssue>
<Title>Gut</Title>
<ISOAbbreviation>Gut</ISOAbbreviation>
</Journal>
<ArticleTitle>Australian consensus statements for the regulation, production and use of faecal microbiota transplantation in clinical practice.</ArticleTitle>
<Pagination><MedlinePgn>801-810</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1136/gutjnl-2019-320260</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">Faecal microbiota transplantation (FMT) has proved to be an extremely effective treatment for recurrent <i>Clostridioides difficile</i>
 infection, and there is interest in its potential application in other gastrointestinal and systemic diseases. However, the recent death and episode of septicaemia following FMT highlights the need for further appraisal and guidelines on donor evaluation, production standards, treatment facilities and acceptable clinical indications.</AbstractText>
<AbstractText Label="DESIGN">For these consensus statements, a 24-member multidisciplinary working group voted online and then convened in-person, using a modified Delphi approach to formulate and refine a series of recommendations based on best evidence and expert opinion. Invitations to participate were directed to Australian experts, with an international delegate assisting the development. The following issues regarding the use of FMT in clinical practice were addressed: donor selection and screening, clinical indications, requirements of FMT centres and future directions. Evidence was rated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.</AbstractText>
<AbstractText Label="RESULTS">Consensus was reached on 27 statements to provide guidance on best practice in FMT. These include: (1) minimum standards for donor screening with recommended clinical selection criteria, blood and stool testing; (2) accepted routes of administration; (3) clinical indications; (4) minimum standards for FMT production and requirements for treatment facilities acknowledging distinction between single-site centres (eg, hospital-based) and stool banks; and (5) recommendations on future research and product development.</AbstractText>
<AbstractText Label="CONCLUSIONS">These FMT consensus statements provide comprehensive recommendations around the production and use of FMT in clinical practice with relevance to clinicians, researchers and policy makers.</AbstractText>
<CopyrightInformation>© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haifer</LastName>
<ForeName>Craig</ForeName>
<Initials>C</Initials>
<Identifier Source="ORCID">0000-0002-3675-6550</Identifier>
<AffiliationInfo><Affiliation>The University of Sydney, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>St Vincent's Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kelly</LastName>
<ForeName>Colleen R</ForeName>
<Initials>CR</Initials>
<AffiliationInfo><Affiliation>Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Paramsothy</LastName>
<ForeName>Sudarshan</ForeName>
<Initials>S</Initials>
<Identifier Source="ORCID">0000-0002-9097-6028</Identifier>
<AffiliationInfo><Affiliation>The University of Sydney, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Concord Repatriation General Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Andresen</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>The University of Sydney, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>St Vincent's Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Papanicolas</LastName>
<ForeName>Lito E</ForeName>
<Initials>LE</Initials>
<Identifier Source="ORCID">0000-0002-5838-7274</Identifier>
<AffiliationInfo><Affiliation>South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Royal Adelaide Hospital, Adelaide, South Australia, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>McKew</LastName>
<ForeName>Genevieve L</ForeName>
<Initials>GL</Initials>
<Identifier Source="ORCID">0000-0002-5238-9260</Identifier>
<AffiliationInfo><Affiliation>The University of Sydney, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Concord Repatriation General Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Borody</LastName>
<ForeName>Thomas J</ForeName>
<Initials>TJ</Initials>
<Identifier Source="ORCID">0000-0002-0519-4698</Identifier>
<AffiliationInfo><Affiliation>Centre for Digestive Diseases, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kamm</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>St Vincent's Hospital, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Costello</LastName>
<ForeName>Samuel P</ForeName>
<Initials>SP</Initials>
<Identifier Source="ORCID">0000-0002-2857-1812</Identifier>
<AffiliationInfo><Affiliation>The Queen Elizabeth Hospital, Woodville, South Australia, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>BiomeBank, Adelaide, South Australia, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Andrews</LastName>
<ForeName>Jane M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>Royal Adelaide Hospital, Adelaide, South Australia, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>The University of Adelaide, Adelaide, South Australia, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Begun</LastName>
<ForeName>Jakob</ForeName>
<Initials>J</Initials>
<Identifier Source="ORCID">0000-0001-5256-7672</Identifier>
<AffiliationInfo><Affiliation>The University of Queensland, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Mater Hospital Brisbane, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chan</LastName>
<ForeName>Hiu Tat</ForeName>
<Initials>HT</Initials>
<AffiliationInfo><Affiliation>VCS Pathology, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Connor</LastName>
<ForeName>Susan</ForeName>
<Initials>S</Initials>
<Identifier Source="ORCID">0000-0001-5606-0270</Identifier>
<AffiliationInfo><Affiliation>Liverpool Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University of New South Wales, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ghaly</LastName>
<ForeName>Simon</ForeName>
<Initials>S</Initials>
<Identifier Source="ORCID">0000-0003-2489-6430</Identifier>
<AffiliationInfo><Affiliation>St Vincent's Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University of New South Wales, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Johnson</LastName>
<ForeName>Paul Dr</ForeName>
<Initials>PD</Initials>
<AffiliationInfo><Affiliation>The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Austin Hospital, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lemberg</LastName>
<ForeName>Daniel A</ForeName>
<Initials>DA</Initials>
<AffiliationInfo><Affiliation>University of New South Wales, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Paramsothy</LastName>
<ForeName>Ramesh</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Blacktown Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Redmond</LastName>
<ForeName>Andrew</ForeName>
<Initials>A</Initials>
<Identifier Source="ORCID">0000-0002-1125-5362</Identifier>
<AffiliationInfo><Affiliation>The University of Queensland, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sheorey</LastName>
<ForeName>Harsha</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>St Vincent's Hospital, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>van der Poorten</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>The University of Sydney, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Westmead Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Leong</LastName>
<ForeName>Rupert W</ForeName>
<Initials>RW</Initials>
<Identifier Source="ORCID">0000-0001-5944-3488</Identifier>
<AffiliationInfo><Affiliation>The University of Sydney, Sydney, New South Wales, Australia rupertleong@outlook.com.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Concord Repatriation General Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>02</Month>
<Day>11</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Gut</MedlineTA>
<NlmUniqueID>2985108R</NlmUniqueID>
<ISSNLinking>0017-5749</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N" Type="Geographic">Australia</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003015" MajorTopicYN="N">Clostridium Infections</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D046148" MajorTopicYN="N">Donor Selection</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000069467" MajorTopicYN="N">Fecal Microbiota Transplantation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006268" MajorTopicYN="N">Health Facilities</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017410" MajorTopicYN="Y">Practice Guidelines as Topic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Clostridioides difficile
</Keyword>
<Keyword MajorTopicYN="Y">FMT</Keyword>
<Keyword MajorTopicYN="Y">faecal microbiota transplantation</Keyword>
<Keyword MajorTopicYN="Y">inflammatory bowel disease</Keyword>
<Keyword MajorTopicYN="Y">microbiome therapeutics</Keyword>
<Keyword MajorTopicYN="Y">stool bank</Keyword>
</KeywordList>
<CoiStatement>Competing interests: CRK has received research support and is a site investigator for Finch Therapeutics; and is a clinical advisory board member for Openbiome. SP is a consultant for Finch Therapeutics and received speaker fees from Ferring, Janssen. TJB has interest in Redhill Biopharma, Salix and Finch Therapeutics, ResMed and GSK; has interest in the Centre for Digestive Diseases, where faecal microbiota transplantation is a treatment option for patients, and has patents in this field. MK has received speaker fees, research funding, educational support or honoraria for advisory board participation from Ferring, AbbVie, Janssen, Takeda and received research support from AbbVie. SPC has received speaker fees from Shire, Ferring, Microbiotica, Pfizer and Janssen; and is a shareholder in BiomeBank. JMA has received speaker fees, research funding, educational support or honoraria for advisory board participation from Abbott, AbbVie, Allergan, Anatara, AstraZeneca, Bayer, Celegene, Ferring, Gilead, Hospira, Immuninc, ImmunsanT, Janssen, MSD, Nestle, Progenity, Pfizer, Shire, Takeda, Vifor, Royal Adelaide Research Fund and The Hospital Research Fund. JB has received speaker fees, research funding, educational support or honoraria for advisory board participation from Janssen, Takeda, AbbVie, Celgene, Ferring, Pfizer, Anatara, Microba, Shire and Progenity. SC has received speaker fees, research funding, educational support or honoraria for advisory board participation from AbbVie, Aspen/Orphan, Celgene, Ferring, Gilead, Janssen, MSD, Pfizer, Shire, Takeda and Vifor. SG has received speaker fees, research funding, educational support or honoraria for advisory board participation from Janssen Cilag, Shire, Takeda, Ferring and Pfizer and AbbVie. DAL has received speaker fees, research funding, educational support or honoraria for advisory board participation from Nutricia, Nestle, Janssen, AbbVie. RP has received speaker fees or research support from Janssen, Aspen, Pfizer, Abbvie and Takeda. RWL reports advisory board fees from AbbVie, Aspen, Celgene, Ferring, Gilead, Hospira, Janssen, MSD, Novartis, Pfizer, and Takeda; research fees from Gastrointestinal Society of Australia (GESA), Endochoice, Janssen, National Health and Medical Research Council of Australia, Shire, and Takeda; and speaker fees from Emerge Health, Ferring, Janssen, Shire, and Takeda.</CoiStatement>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year>
<Month>11</Month>
<Day>12</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2019</Year>
<Month>12</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>12</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>2</Month>
<Day>13</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>11</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>2</Month>
<Day>13</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32047093</ArticleId>
<ArticleId IdType="pii">gutjnl-2019-320260</ArticleId>
<ArticleId IdType="doi">10.1136/gutjnl-2019-320260</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Australie</li>
<li>Oman</li>
<li>États-Unis</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
<li>Rhode Island</li>
<li>Victoria (État)</li>
</region>
<settlement><li>Melbourne</li>
<li>Providence (Rhode Island)</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université Brown</li>
<li>Université de Melbourne</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Haifer, Craig" sort="Haifer, Craig" uniqKey="Haifer C" first="Craig" last="Haifer">Craig Haifer</name>
</region>
<name sortKey="Andresen, David" sort="Andresen, David" uniqKey="Andresen D" first="David" last="Andresen">David Andresen</name>
<name sortKey="Andresen, David" sort="Andresen, David" uniqKey="Andresen D" first="David" last="Andresen">David Andresen</name>
<name sortKey="Andrews, Jane M" sort="Andrews, Jane M" uniqKey="Andrews J" first="Jane M" last="Andrews">Jane M. Andrews</name>
<name sortKey="Andrews, Jane M" sort="Andrews, Jane M" uniqKey="Andrews J" first="Jane M" last="Andrews">Jane M. Andrews</name>
<name sortKey="Begun, Jakob" sort="Begun, Jakob" uniqKey="Begun J" first="Jakob" last="Begun">Jakob Begun</name>
<name sortKey="Begun, Jakob" sort="Begun, Jakob" uniqKey="Begun J" first="Jakob" last="Begun">Jakob Begun</name>
<name sortKey="Borody, Thomas J" sort="Borody, Thomas J" uniqKey="Borody T" first="Thomas J" last="Borody">Thomas J. Borody</name>
<name sortKey="Chan, Hiu Tat" sort="Chan, Hiu Tat" uniqKey="Chan H" first="Hiu Tat" last="Chan">Hiu Tat Chan</name>
<name sortKey="Connor, Susan" sort="Connor, Susan" uniqKey="Connor S" first="Susan" last="Connor">Susan Connor</name>
<name sortKey="Connor, Susan" sort="Connor, Susan" uniqKey="Connor S" first="Susan" last="Connor">Susan Connor</name>
<name sortKey="Costello, Samuel P" sort="Costello, Samuel P" uniqKey="Costello S" first="Samuel P" last="Costello">Samuel P. Costello</name>
<name sortKey="Costello, Samuel P" sort="Costello, Samuel P" uniqKey="Costello S" first="Samuel P" last="Costello">Samuel P. Costello</name>
<name sortKey="Ghaly, Simon" sort="Ghaly, Simon" uniqKey="Ghaly S" first="Simon" last="Ghaly">Simon Ghaly</name>
<name sortKey="Ghaly, Simon" sort="Ghaly, Simon" uniqKey="Ghaly S" first="Simon" last="Ghaly">Simon Ghaly</name>
<name sortKey="Haifer, Craig" sort="Haifer, Craig" uniqKey="Haifer C" first="Craig" last="Haifer">Craig Haifer</name>
<name sortKey="Johnson, Paul Dr" sort="Johnson, Paul Dr" uniqKey="Johnson P" first="Paul Dr" last="Johnson">Paul Dr Johnson</name>
<name sortKey="Johnson, Paul Dr" sort="Johnson, Paul Dr" uniqKey="Johnson P" first="Paul Dr" last="Johnson">Paul Dr Johnson</name>
<name sortKey="Kamm, Michael" sort="Kamm, Michael" uniqKey="Kamm M" first="Michael" last="Kamm">Michael Kamm</name>
<name sortKey="Kamm, Michael" sort="Kamm, Michael" uniqKey="Kamm M" first="Michael" last="Kamm">Michael Kamm</name>
<name sortKey="Lemberg, Daniel A" sort="Lemberg, Daniel A" uniqKey="Lemberg D" first="Daniel A" last="Lemberg">Daniel A. Lemberg</name>
<name sortKey="Lemberg, Daniel A" sort="Lemberg, Daniel A" uniqKey="Lemberg D" first="Daniel A" last="Lemberg">Daniel A. Lemberg</name>
<name sortKey="Leong, Rupert W" sort="Leong, Rupert W" uniqKey="Leong R" first="Rupert W" last="Leong">Rupert W. Leong</name>
<name sortKey="Mckew, Genevieve L" sort="Mckew, Genevieve L" uniqKey="Mckew G" first="Genevieve L" last="Mckew">Genevieve L. Mckew</name>
<name sortKey="Mckew, Genevieve L" sort="Mckew, Genevieve L" uniqKey="Mckew G" first="Genevieve L" last="Mckew">Genevieve L. Mckew</name>
<name sortKey="Papanicolas, Lito E" sort="Papanicolas, Lito E" uniqKey="Papanicolas L" first="Lito E" last="Papanicolas">Lito E. Papanicolas</name>
<name sortKey="Papanicolas, Lito E" sort="Papanicolas, Lito E" uniqKey="Papanicolas L" first="Lito E" last="Papanicolas">Lito E. Papanicolas</name>
<name sortKey="Paramsothy, Ramesh" sort="Paramsothy, Ramesh" uniqKey="Paramsothy R" first="Ramesh" last="Paramsothy">Ramesh Paramsothy</name>
<name sortKey="Paramsothy, Sudarshan" sort="Paramsothy, Sudarshan" uniqKey="Paramsothy S" first="Sudarshan" last="Paramsothy">Sudarshan Paramsothy</name>
<name sortKey="Paramsothy, Sudarshan" sort="Paramsothy, Sudarshan" uniqKey="Paramsothy S" first="Sudarshan" last="Paramsothy">Sudarshan Paramsothy</name>
<name sortKey="Redmond, Andrew" sort="Redmond, Andrew" uniqKey="Redmond A" first="Andrew" last="Redmond">Andrew Redmond</name>
<name sortKey="Redmond, Andrew" sort="Redmond, Andrew" uniqKey="Redmond A" first="Andrew" last="Redmond">Andrew Redmond</name>
<name sortKey="Sheorey, Harsha" sort="Sheorey, Harsha" uniqKey="Sheorey H" first="Harsha" last="Sheorey">Harsha Sheorey</name>
<name sortKey="Van Der Poorten, David" sort="Van Der Poorten, David" uniqKey="Van Der Poorten D" first="David" last="Van Der Poorten">David Van Der Poorten</name>
<name sortKey="Van Der Poorten, David" sort="Van Der Poorten, David" uniqKey="Van Der Poorten D" first="David" last="Van Der Poorten">David Van Der Poorten</name>
</country>
<country name="États-Unis"><region name="Rhode Island"><name sortKey="Kelly, Colleen R" sort="Kelly, Colleen R" uniqKey="Kelly C" first="Colleen R" last="Kelly">Colleen R. Kelly</name>
</region>
</country>
<country name="Oman"><region name="Nouvelle-Galles du Sud"><name sortKey="Leong, Rupert W" sort="Leong, Rupert W" uniqKey="Leong R" first="Rupert W" last="Leong">Rupert W. Leong</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Australian consensus statements for the regulation, production and use of faecal microbiota transplantation in clinical practice.

Australian consensus statements for the regulation, production and use of faecal microbiota transplantation in clinical practice.

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