A new frozen faecal bank that could save hundreds of lives and dramatically improve the quality of life for many more has been established at a Portsmouth hospital.
The bank, at Queen Alexandra Hospital, gives patients across the UK access to screened frozen faecal material, greatly increasing the chances of curing a chronic health condition that causes severe social isolation and embarrassment.
A faecal transplant delivers healthy bacteria into the gut of a patient using faeces from a healthy donor. This helps the patient recover from serious infections such as Clostridium difficile infection (C. diff).
The bank is part of a pilot project run by Dr Robert Porter, Consultant in microbiology and infection at Portsmouth Hospitals’ NHS Trust. It is funded by the Wessex Academic Health Science Network and supported by senior lecturer and researcher Carole Fogg, at the University of Portsmouth.
Those with C.diff, a bacterial infection affecting the digestive system, have a one in six chance of dying within 30 days. Antibiotics are the first treatment and cure the condition in most cases. But for a small minority – about 20 per cent – antibiotics do not work. Those patients suffer recurring bouts of diarrhoea so severe that most lose their jobs, stop seeing friends and family, and refuse to leave their homes.
A faecal transplant will cure 96 per cent of patients, effectively giving them their lives back.
Dr Porter said: “The development of the bank will revolutionise our ability to provide highly efficient therapy in Hampshire and across the whole of the UK in a way we were unable to do previously.
“Faecal transplants are extremely successful and the impact on people’s lives of such a simple treatment is difficult to overstate.
“This is about something we all do every day potentially saving other people’s lives. The pilot bank service also opens doors to new research, which we fully intend to take forward.”
The bank collects samples from pre-screened volunteers. Frozen samples, which can be stored for three months, can be transported anywhere in the UK within hours.
Dr Porter said: “Before we established the bank we had a six-hour window between donation and transplant. I once took a sample from a patient in Portsmouth and drove as fast as I could to another patient in Dorset. But the bank changes everything. Now, we can send transplant material anywhere in the UK by overnight cold storage.”
Ms Fogg, said: “This is a ground breaking new service that could save the lives of many people a year. I hope this pilot project will prove the value of this vital treatment.”
Dr Porter had previously been operating a much smaller service, but was not able to treat all patients with the condition due to lack of resources.
Before the bank was established the sample would have to be provided by a donor, processed and delivered via a tube in in the patient’s nose into the small intestine, repopulating healthy bacteria in the gut.
Dr Porter and Ms Fogg will also be studying the bacteria in the gut of the transplant recipients and donors to investigate what makes the treatment so successful, as well as examining how often the facility is used.
The cost of treating C.diff using traditional methods is estimated to run well into the tens of millions across the NHS.
A single faecal transplant from Dr Porter’s bank costs about £85