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Donor exclusion criteria for fecal microbiota transplant

Donor exclusion criteria for fecal microbiota transplant
Absolute
Risk of infectious agent
 Detection of gastrointestinal pathogens in stool (including Clostridioides [formerly Clostridium] difficile
Known HIV, hepatitis B, C, or active syphilis infections
Known exposure to HIV or viral hepatitis (within the previous 12 months)
High-risk sexual behaviors
Use of illicit drugs
Tattoo or body piercing within six months
Incarceration or history of incarceration
Known current communicable disease (eg, upper respiratory tract infection)
Risk factors for variant Creutzfeldt-Jakob disease
Travel (within the last six months) to areas of the world where diarrheal illnesses are endemic or risk of traveler's diarrhea is high
Known colonization with or risk factors for multi-drug resistant organisms in stool
Gastrointestinal comorbidities
History of inflammatory bowel disease
History of IBS, idiopathic chronic constipation, or chronic diarrhea
History of gastrointestinal malignancy or known polyposis
Factors that can or do affect the composition of the intestinal microbiota
Antibiotics within the preceding three months
Major immunosuppressive medications (eg, calcineurin inhibitors, exogenous glucocorticoids, biological agents, etc)
Systemic antineoplastic agents
Additional recipient-specific considerations
Recent ingestion of a potential allergen (eg, nuts) where recipient has a known allergy to this (these) agent(s)
Relative exclusion criteria that might be appropriate to consider
History of major gastrointestinal surgery (eg, gastric bypass)
Metabolic syndrome
Systemic autoimmunity (eg, multiple sclerosis, connective tissue disease)
Atopic diseases including asthma and eczema, eosinophilic disorders of the gastrointestinal tract
Chronic pain syndromes (eg, chronic fatigue syndrome, fibromyalgia)
IBS: irritable bowel syndrome.
Data from: Bakken JS, Borody T, Brandt LJ, et al. Treating Clostridium difficile infection with fecal microbiota transplantation. Clin Gastroenterol Hepatol 2011; 9:1044.
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