How to Perform Fecal Matter Transplants in Developing Nations


Fecal microbiota transplants are becoming increasingly prevalent in the developed world as a method used to restore the healthy diversity of microbes in the gut. In developing nations however, IBD in particular, has become an increasing problem that can be resolved by the use of FMT. This is a step-by-step guide to how FMT can be implemented in rural cities in a cost effective and efficient manner.

Part 1
Donor Process

Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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Finding a healthy donor is essential to a successful fecal matter transplant. Thus, healthy donors should meet the following criteria. Donors should not: Have had antibiotics in the past 6 months Be immunocompromised Had tattoos or piercings in the past 6 months Have a history of drug use Have a history of high-risk sexual behavior Have been incarcerated Have recently travelled to endemic areas Have any chronic GI disorders Have any allergies

Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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A potential donor will need to receive the following tests before being approved: Hepatitis A, B, and C Human Immunodeficiency Virus (HIV) Rapid Plasma Reagin (Syphilis) Ova and parasites Clostridium Difficile Giardia antigen General culture and sensitivity

Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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The stool should be placed in a bag sealed with a cable tie

Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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Donor Process on How to Perform Fecal Matter Transplants in Developing Nations

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Part 2
Recipient Process

Recipient Process on How to Perform Fecal Matter Transplants in Developing Nations

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Recipient Process on How to Perform Fecal Matter Transplants in Developing Nations

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Recipient Process on How to Perform Fecal Matter Transplants in Developing Nations

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Stop any antibiotic therapy 2 days prior to the transplant Follow a liquid-only diet for 2 days prior to the transplant

Recipient Process on How to Perform Fecal Matter Transplants in Developing Nations

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Recipient Process on How to Perform Fecal Matter Transplants in Developing Nations

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this step is specific to FMT via retention enema

Recipient Process on How to Perform Fecal Matter Transplants in Developing Nations

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patient should lie on their right side during enema, and for 1 hour after