I do not want to prepare the product in my laboratory because the nature of the process will aerosolize fecal bacteria in the very area where I am preparing and plating other clinical samples.
1) I have very large concerns that making hospitals perform their own preparations instead of allowing us to purchase pre-screened samples from a stool bank will lead to false-positive cross contaminated cultures which could lead to unecessary treatment of patients. In this day and age of needed antimicrobial stewardship, unecessary antibiotic treatment has the potential to further expose a patient to antibiotic resistance. I do hope the CDC is weighing in with the FDA on this issue.
2) It is a fact that most clinical microbiology biological safety cabinets (BSCs) do not have UV light sterilizers. Therefore, there is no way for most laboratories to adequately disinfect their BSCs adequately enough to counteract the aerosolization.

3) I do not want to take my laboratory staff away from doing important patient work to perform stool concentrations for which the laboratory cannot charge because it is not yet FDA regulated.

4) From a hospital infection control perspective, preparation in the lab can lead to contamination that will falsely elevate Nosocomial Infection markers leading the CMS to withold essential funds for hospitals.

5) I have been told by infectious disease and gastrointestinal physicians that some patients simply do not have any time left and need to be transplanted within 24 hours. While clinical labs can screen for some infectious agents during this time, we cannot screen everything for which we need. To do that will take 7-14 days for all of the results to come back. So,what will happen is that each facility will be forced to create their own, secret, stool donor storage. Now I ask the FDA, which is easier for you to regulate, a handful of nationally held stool banks or a bunch of secretive hospital lab stool banks all doing something different?

6) Finally, I have collegues who have told me of patients with CDT that are often alientated from their families. Because of this, there needs to be an independant alternative to the family/friend donors especially when so many of those friends/family dononrs are unsuitable.

So please, don’t outlaw FMT. Why can’t they keep track of sample just like blood banks do?

http://www.voanews.com/content/fecal-transplants-used-to-cure-intestinal-disorders/1723974.html