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Faecal microbiota transplantation in clinical practice
  1. E M Terveer1,
  2. Y H van Beurden2,3,
  3. A Goorhuis4,
  4. C J J Mulder2,
  5. E J Kuijper1,
  6. J J Keller5,6
  7. On behalf of the Working Group of The Netherlands Donor Feces Bank
    1. 1Department of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands
    2. 2Department of Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands
    3. 3Department of Gastroenterology, VU University Medical Center, Amsterdam, The Netherlands
    4. 4Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands
    5. 5Department of Gastroenterology, MC Haaglanden, The Hague, The Netherlands
    6. 6Department of Gastroenterology, Leiden University Medical Center, Leiden, The Netherlands
    1. Correspondence to Dr J J Keller, Department of Gastroenterology, MC Haaglanden, Lijnbaan 32, The Hague 2512 VA, The Netherlands; j.keller{at}

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    Dear Sir,

    We would like to add some remarks to the report of a consensus meeting about faecal microbiota transplantation (FMT) by Cammarota et al.1

    Already, donor faeces banks exist at an institutional or national level in Germany, UK and The Netherlands, to support treatment of patients with recurrent Clostridium difficile infection (CDI).2 Unfortunately, these centres were not consulted for advice, and it is felt that some conclusions of the report need clarification and adjustments.

    First, the statement about expert centres is inaccurate. The critical steps for safe and effective FMT are (1) patient selection, (2) donor (stool) selection and screening, and (3) biobanking of faeces suspensions. We agree that donor screening should be performed …

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      Giovanni Cammarota Gianluca Ianiro Antonio Gasbarrini