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KMID : 1024720210110020110
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Geriatric Rehabilitation
2021 Volume.11 No. 2 p.110 ~ p.114
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Fecal Microbiota Transplant as a Novel Treatment to Decolonize Multidrug Resistance Organism in Elderly Stroke Patients: Case Series
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Jeong Ho-Young
Im Sun
Kim Cheol-Ki
Kim Ga-Hye
Park Geun-Young
Gweon Tae-Geun
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Abstract
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The prevalence of multidrug-resistant organisms, such as carbapenem-resistant Enterobacteriaceae (CRE), is increasing at an alarming rate, but treatment options are still limited. CRE-colonized patients should properly be isolated to prevent potential transmission to other patients. In stroke rehabilitation however, cohort isolation significantly impedes motor and functional improvement, increases mortality, and elevates total hospital costs. CRE is more common in geriatric patients and more difficult to decolonize. Fecal microbiota transplantation (FMT) is an effective and safe procedure for decolonizing CRE. Here, we present three cases of elderly patients with subacute or chronic stroke isolated with CRE, who showed dramatically positive responses and natural colonization within one week of FMT.
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KEYWORD
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Fecal microbiota transplantation, Carbapenem-resistant Enterobacteriaceae, Stroke
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