Donor Exclusion Criteria and Tests Performed
The concerns regarding potential transmission of pathogenic organisms and thus the need for extensive pretransplant donor-screening have been well known. To our knowledge, there have been no reports of an infectious disease being transmitted through a screened FMT donor, although there has been a report of possible cytomegalovirus transmission in an FMT from a nonscreened donor. However, data on the myriads of potential diseases associated with the gut microbiome has steadily increased the number of conditions for which stool donation may carry a risk of transmission. .
8/9/20242 min read


Table : Exclusion Criteria and Tests Performed
History/Examination
Between 18 and 35 years of age
Any medications
Antibiotics, antifungals, or antivirals in the last 3 months
Probiotics in the last 3 months
Hospitalization in the last 3 months
Travel to high-risk areas of infectious diarrhea in the last 3 months
Acute diarrhea within the past 6 months
Tattoo or body piercing in the last 6 months
Known HIV or viral hepatitis exposure in the last 12 months
High-risk sexual behavior
Illicit drug use
Incarceration or a history of incarceration
Household members with active GI infection
Chronic constipation
Any gastrointestinal disorder
Overweight (BMI >25)
Obese (BMI >30)
Hypertension
Type 2 diabetes
Insulin sensitivity
Hyperlipidemi
Atherosclerosis
Malnutrition (BMI <18)
Autoimmune disease
Atopic disease
Psychiatric history
Infection with HIV, syphilis, hepatitis B or C
Malignancy
Chronic pain syndromes, neurologic or neurodevelopmental disorders
History of major gastrointestinal surgery
Any kind of liver disease
Alcoholic intake: No alcohol consumption
Family history of colorectal carcinoma
Family history of diabetes
Family history of early onset coronary disease, gastrointestinal or liver disease
Stool Tests
Ova, cysts, and parasites
Microscopy and culture
Rotavirus
Norovirus
Adenovirus
Clostridium difficile toxin
Vancomycin-resistantEnterococcus screen
Carbapenem-resistant Enterobacteriaceae
Extended spectrum β-lactamase-producing Enterobacteriaceae
Fecal Giardia antigen
Fecal Cryptosporidium antigen
Isospora
Cyclospora
Microsporidia
Blood Tests
Complete blood count
Electrolytes, urea, and creatinine
Liver function tests
Erythrocyte sedimentation rate
C-reactive protein
Fasting lipids and blood sugar level
Anti-TTG antibody for celiac disease
Antinuclear antibody
HIV type 1 and 2
Hepatitis A virus IgM
Hepatitis B virus surface antigen, hepatitis B virus core antibody (IgM and IgG), hepatitis B virus surface antibody
Hepatitis C virus antibody
Human T-cell lymphotropic virus 1 and 2
Epstein-Barr virus IgM
Cytomegalovirus IgM
Strongyloides stercoralis, Entamoeba histolytica, Helicobacter pylori serology
H pylori
Treponema pallidum screening cascade
Listeria
Nasal Swab
Methicillin-resistant Staphylococcus aureus
Urine Tests
Gonorrhea and chlamydia
Abbreviations: BMI, body mass index; GI, gastrointestinal; HIV, human immunodeficiency virus; Ig, immunoglobulin; TTG, tissue transglutaminase
1. Kazerouni A,Burgess K, Burns LJ, Wein LM. Optimal screening and donor management in a public stool bank. Microbiome 2015;3:75
2.Paramsothy S,Borody TJ, Lin E. et al. Donor recruitment for fecal microbiota transplantation. Inflamm Bowel Dis. 2015;21:1600–6
3.Costello SP,Tucker EC, La Brooy J. et al.Establishing a fecal microbiota transplant service for the treatment of Clostridium difficile infection. Clin Infect Dis. 20
4.Tariq R,Weatherly ,Kammer P. et al.Donor screening experience for fecal microbiota transplantation in patients with recurrent C. difficile infection .J Clin Gastroenterol. 2016
OpenBiome.Quality and safety program.2017. Available at: http://www.openbiome.org/safety/. Accessed, 20 September 2017
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