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Don't poo-poo technique: Fecal transplant can cure superbug, doctors say
cbc dot ca ^ | 12-2008

Posted on 12/11/2008 7:00:59 PM PST by doug from upland

Don't poo-poo technique: Fecal transplant can cure superbug, doctors say

More than 90 per cent of C. difficile patients are cured by fecal transplants, studies suggest Last Updated: Tuesday, November 13, 200 7 | 12:17 PM ET

CBC News

A controversial new treatment, which involves the transplantation of human waste, can treat cases of C. difficile infection. But only a handful of physicians in Canada undertake the messy procedure.

Left unchecked, C. difficile bacteria can cause chronic diarrhea, leaving sufferers virtually confined to their bathrooms. (CBC) Clostridium difficile is a superbug that commonly spreads in hospital settings and has been linked to the deaths of at least 2,000 people in Quebec since 2003, as well as in other provinces.

Though C. difficile can be kept in check by good bacteria in the bowel, problems can arise when the superbug is treated by antibiotics such as vancomycin. The antibiotics sometimes wipe out the good bacteria but fail to completely kill the C. difficile — leaving enough of it that it later flourishes.

"If you wipe out the normal bacteria by taking an antibiotic, then this bug overgrows and it releases a toxin which causes severe diarrhea," Dr. Mike Silverman, an internal medicine specialist from Ajax, Ont., told CBC News.

According to him, the diarrhea can become chronic day after day and month after month. "It's painful, people can't get on with their lives … and if doctors can't keep a patient hydrated and nourished, it can be deadly."

Calgary resident Dorothy Badry battled C. difficile for almost a year in 2004.

"You are going to the bathroom at least 40 times a day. And there is a lot of pain associated with that. Your skin starts to break down and the process is extremely painful."

During that time, Badry could not work and could not care for her disabled daughter. "I basically had to give up everything," she said.

Calgary doctor is one of few doing transplants Fecal transplants have become the first-line treatment for chronic recurrent C. difficile in Scandinavia. As well, more and more doctors are using it in the United States.

Studies that have been published show that more than 90 per cent of patients are cured through fecal transplants — most of them after just one treatment.

But only a handful of doctors in Canada are willing to undertake the unpleasant procedure which involves taking a healthy person's fecal matter and transplanting it into a person infected with C. difficile.

They cite sanitation reasons for their hesitation.

Calgary physician Dr. Tom Louie, head of infection control at Foothills Hospital, is one of the few physicians in Canada who treats patients with chronic C. difficile with fecal transplants, or fecal therapy. He has done 38 procedures to date.

The procedure involves getting a close relative of the patient, such as a sibling, to donate several days-worth of stool. Louie tests the stool for diseases such as hepatitis and HIV and then mixes it with saline to create liquid feces. He then administers the stool to the patient through an enema.

Louie said the technique allows good bacteria from the transplanted stool to reduce the number of C. difficile bacteria in the intestines and to restore normal intestinal function.

He said the process is fairly quick.

"It takes me about an hour and I leave it in there overnight. I'm hoping that some of these normal bugs will come and find a home, and when they find a home it will kick out the C. difficile."

'It cured me,' Toronto woman says Marcia Munro, a Toronto resident, received a fecal transplant from her sister Wendy Sinukoff after suffering from C. difficile for 14 months several years ago.

'This procedure cured me.… I know many people die from C. difficile and I want people to know there is hope when you have this illness.' —Marcia Munro"I had to collect stool samples for five days prior to our leaving Toronto, and I collected it in an ice cream container and kept it in the fridge," said Sinukoff.

She had to then fly the samples to Calgary so that Louie could transplant it into her sister — a process that involved getting the sample through airport security.

"My biggest fear was that my samples were not allowed to be frozen, so I had to take them as carry-on luggage in the airplane and I was terrified that I was going to be asked to have my luggage searched," she said.

Munro said the transplant was a success.

"It cured me. This procedure cured me and one of reasons I agreed to do this story — because it's difficult to talk about — is I know many people die from C. difficile and I want people to know there is hope when you have this illness."


TOPICS: Culture/Society; News/Current Events
KEYWORDS: disgusting; fecaltransplant; feces; poop; tubeupnose
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To: doug from upland

Calling all stool donors...


21 posted on 12/11/2008 7:16:44 PM PST by Freedom_Fighter_2001 (Prince Albert + RAGE = Fat Albert)
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To: NavVet

I’ll bet there are some pre-verts in SanFran who would do the fudge packing for free.


22 posted on 12/11/2008 7:19:18 PM PST by lightman (BHO: I'd rather defy than deify.)
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To: editor-surveyor
What other reason could there have been for posting this kind of rubbish?

Rubbish? The fecal transplant? If that, not rubbish at all. C. difficile is extremely dangerous. Following a course of antibiotics, it can take over the gut. What keeps it in check in the healthy gut is a wide variety of other gut flora, i.e. bacteria. Feces is made up of mostly bacteria, most of it alive. One bowel movement has several times more cells than there are in the entire human body. At any rate, they could probably have just used a product like Healthy Trinity to reestablish gut flora and a gut environment hostile to C. difficile.
23 posted on 12/11/2008 7:21:38 PM PST by aruanan
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To: doug from upland

I am unclear as to why they can just... go the other way...


24 posted on 12/11/2008 7:25:51 PM PST by El Sordo
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To: Barney Frank

We regret to inform you the slots for the clinical trials have been filled. Thank you for your enthusiastic interest in medical research.

25 posted on 12/11/2008 7:26:03 PM PST by I see my hands (_8(|)
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To: aruanan
"At any rate, they could probably have just used a product like Healthy Trinity to reestablish gut flora and a gut environment hostile to C. difficile."

That was exactly my point. - Why use a potentially dangerous proceedure when there are so many more effective treatments that pose no risk? - Medicine is turning itself into a joke.

26 posted on 12/11/2008 7:27:04 PM PST by editor-surveyor (Obama - not just an empty suit - - A Suit Bomb invading the White House)
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To: doug from upland

We’ll take this Poo, and mix it with that Poo, and stick it where you Poo.


27 posted on 12/11/2008 7:29:11 PM PST by MaxMax (I'll welcome death when God calls me. Until then, the fight is on)
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To: aruanan

Interesting. A turd is really like....a flower bouquet. lol


28 posted on 12/11/2008 7:29:19 PM PST by TNdandelion (This should be fun.)
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To: null and void

gives whole new meaning to eat sh*t and er...live?


29 posted on 12/11/2008 7:29:35 PM PST by going hot (Happiness is a momma deuce)
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To: bmwcyle

Poop.


30 posted on 12/11/2008 7:30:52 PM PST by BufordP (Had Mexicans flown planes into the World Trade Center, Jorge Bush would have surrendered.)
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To: neverdem; Judith Anne; Smokin' Joe

Like, *PING*, folks.


31 posted on 12/11/2008 7:32:46 PM PST by grey_whiskers (The opinions are solely those of the author and are subject to change without notice.)
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To: martin_fierro; Slings and Arrows

Like, *PING*, dudes.


32 posted on 12/11/2008 7:33:56 PM PST by grey_whiskers (The opinions are solely those of the author and are subject to change without notice.)
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To: doug from upland
I was terrified that I was going to be asked to have my luggage searched," she said.

Two baggage handlers stealing from luggage:

#1 - I found me a nice watch and a DVD Player. What you got?

#2 - I found some...what the...AAAARRRGGGGHHH!!!

33 posted on 12/11/2008 7:34:20 PM PST by Grizzled Bear ("Does not play well with others.")
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To: All

This is definitely a thread you can send to your friends and relatives with an “OH, CR@P” in the subject line!


34 posted on 12/11/2008 7:38:09 PM PST by jacquej
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To: Born Conservative; doug from upland
I don’t believe C. Diff. is a superbug in the traditional use of the word. As far as I know, it’s still not resistant to Flagyl or Vanco.

If it's still sensitive to Flagyl and Vancomycin, it's normal C. Difficile.

35 posted on 12/11/2008 7:39:11 PM PST by neverdem (Xin loi min oi)
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To: doug from upland

Sounds better than my MIL cooking


36 posted on 12/11/2008 7:40:41 PM PST by al baby (Hi mom Mr. Obama, are you aware that Sarah Palin took on her own partyÂ’s establishment in Alaska a)
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To: rintense
The procedure....has been around for quite some time now.

I've heard that in some pts. it was the only thing that helped them.....

37 posted on 12/11/2008 7:42:29 PM PST by Osage Orange (Congress would steal the nickels off a dead man's eye's...............)
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To: editor-surveyor
Medicine is turning itself into a joke.

You mean like how the chicken pox vax is causing shingles in otherwise unheard of populations (like toddlers), so pharma is now developing a shingles vax?

Pharma doesn't make money off of healthy people.
38 posted on 12/11/2008 7:44:29 PM PST by Zechariah_8_13 ("If we give the bureaucrats our children, we may as well give them everything else." - J. G. Machen)
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To: aruanan
I got this bug established in my gut in 2006 after three months of powerful antibiotics. I have had several courses of Vancomycin which have not totally suppressed it. Am taking Florastor probiotic in heavy doses for months and expect that I will be on vanco again after the new Medicare D year starts. If that doesn't work, I may have to undergo this disgusting therapy. NOT looking forward to it.
39 posted on 12/11/2008 7:46:40 PM PST by Lucius Cornelius Sulla (Just because I am an Oogedy-Boogedy kind of guy!)
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To: aruanan
I believe the scientific reason given is volume and variety.

You need the real thing, not an extract containing just a few of the critters normally in the human gut.

Back in the good old days when we lived on the floor upstairs from the livestock, this really wasn't a problem, particularly if we let the dog sleep with us.

Dogs have some variations of what we normally carry around that make their stool solid. Otherwise we'd be doing the squirts all the time like other primates.

40 posted on 12/11/2008 7:47:02 PM PST by muawiyah
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