{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T23:36:58Z","timestamp":1778888218991,"version":"3.51.4"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofhospitalinfection.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Infection"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.jhin.2025.09.004","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T12:31:22Z","timestamp":1758630682000},"page":"153-162","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Assessing healthcare workers as potential stool donors for faecal microbiota transplantation: a cross-sectional study of antimicrobial-resistant gut bacteria and enteropathogenic micro-organisms"],"prefix":"10.1016","volume":"165","author":[{"given":"M.","family":"Bonilla-Moreno","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Medina-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Guevara-N\u00fa\u00f1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Saiz-Escobedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Mart\u00ed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.\u00c1.","family":"Dom\u00ednguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Carrera-Salinas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Rodr\u00edguez-Sevilla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jhin.2025.09.004_bib1","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1053\/j.gastro.2018.12.019","article-title":"Fecal microbiota transplantation is superior to fidaxomicin for treatment of recurrent Clostridium difficile infection","volume":"156","author":"Hvas","year":"2019","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jhin.2025.09.004_bib2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1056\/NEJMoa1205037","article-title":"Duodenal infusion of donor feces for recurrent Clostridium difficile","volume":"368","author":"van Nood","year":"2013","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jhin.2025.09.004_bib3","doi-asserted-by":"crossref","DOI":"10.1053\/j.gastro.2012.06.031","article-title":"Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome","volume":"143","author":"Vrieze","year":"2012","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jhin.2025.09.004_bib4","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1053\/j.gastro.2015.04.001","article-title":"Fecal microbiota transplantation induces remission in patients with active ulcerative colitis in a randomized controlled trial","volume":"149","author":"Moayyedi","year":"2015","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jhin.2025.09.004_bib5","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1016\/S0140-6736(17)30182-4","article-title":"Multidonor intensive faecal microbiota transplantation for active ulcerative colitis: a randomised placebo-controlled trial","volume":"389","author":"Paramsothy","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.jhin.2025.09.004_bib6","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1080\/17474124.2019.1687293","article-title":"Microbiota transplant therapy and autism: lessons for the clinic","volume":"13","author":"Adams","year":"2019","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"10.1016\/j.jhin.2025.09.004_bib7","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2023.1104759","article-title":"Fecal microbiota transplantation in Parkinson\u2019s disease \u2013 a randomized repeat-dose, placebo-controlled clinical pilot study","volume":"14","author":"DuPont","year":"2023","journal-title":"Front Neurol"},{"key":"10.1016\/j.jhin.2025.09.004_bib8","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.1136\/gutjnl-2019-319548","article-title":"International consensus conference on stool banking for faecal microbiota transplantation in clinical practice","volume":"68","author":"Cammarota","year":"2019","journal-title":"Gut"},{"key":"10.1016\/j.jhin.2025.09.004_bib9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0276323","article-title":"Challenges and costs of donor screening for fecal microbiota transplantations","volume":"17","author":"B\u00e9nard","year":"2022","journal-title":"PLoS One"},{"key":"10.1016\/j.jhin.2025.09.004_bib10","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/1099800420941185","article-title":"Challenges of screening prospective stool donors for fecal microbiota transplantation","volume":"23","author":"Dubois","year":"2021","journal-title":"Biol Res Nurs"},{"key":"10.1016\/j.jhin.2025.09.004_bib11","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1097\/MIB.0000000000000405","article-title":"Donor recruitment for fecal microbiota transplantation","volume":"21","author":"Paramsothy","year":"2015","journal-title":"Inflamm Bowel Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib12","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1093\/cid\/civ994","article-title":"Establishing a fecal microbiota transplant service for the treatment of Clostridium difficile infection","volume":"62","author":"Costello","year":"2016","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib13","first-page":"540","article-title":"Recruitment of feces donors among blood donors: results from an observational cohort study","volume":"9","author":"J\u00f8rgensen","year":"2018","journal-title":"Gut Microbes"},{"key":"10.1016\/j.jhin.2025.09.004_bib14","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/MCG.0000000000000768","article-title":"Donor screening experience for fecal microbiota transplantation in patients with recurrent C. difficile infection","volume":"52","author":"Tariq","year":"2018","journal-title":"J Clin Gastroenterol"},{"key":"10.1016\/j.jhin.2025.09.004_bib15","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1080\/19490976.2019.1611153","article-title":"In search of stool donors: a multicenter study of prior knowledge, perceptions, motivators, and deterrents among potential donors for fecal microbiota transplantation","volume":"11","author":"McSweeney","year":"2020","journal-title":"Gut Microbes"},{"key":"10.1016\/j.jhin.2025.09.004_bib16","article-title":"The use of faecal microbiota transplantation (FMT) in Europe: a Europe-wide survey","volume":"9","author":"Baunwall","year":"2021","journal-title":"Lancet Reg Health Eur"},{"key":"10.1016\/j.jhin.2025.09.004_bib17","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1371\/journal.pmed.0040296","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"4","author":"Von Elm","year":"2007","journal-title":"PLoS Med"},{"key":"10.1016\/j.jhin.2025.09.004_bib18","series-title":"EUCAST guidelines for detection of resistance mechanisms and specific resistances of clinical and\/or epidemiological importance","author":"Martinez-Martinez","year":"2017"},{"key":"10.1016\/j.jhin.2025.09.004_bib19","article-title":"Various R programming tools for plotting data [R package gplots version 3.2.0]","author":"Warnes","year":"2024","journal-title":"CRAN: Contrib Packages"},{"key":"10.1016\/j.jhin.2025.09.004_bib20","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1038\/s41587-019-0209-9","article-title":"Reproducible, interactive, scalable and extensible microbiome data science using QIIME 2","volume":"37","author":"Bolyen","year":"2019","journal-title":"Nat Biotechnol"},{"key":"10.1016\/j.jhin.2025.09.004_bib21","article-title":"The SILVA ribosomal RNA gene database project: improved data processing and web-based tools","volume":"41","author":"Quast","year":"2013","journal-title":"Nucleic Acids Res"},{"key":"10.1016\/j.jhin.2025.09.004_bib22","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0061217","article-title":"phyloseq: an R package for reproducible interactive analysis and graphics of microbiome census data","volume":"8","author":"McMurdie","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.jhin.2025.09.004_bib23","series-title":"Guide to the quality and safety of Tissues and cells for human application","year":"2022"},{"key":"10.1016\/j.jhin.2025.09.004_bib24","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.gastrohep.2020.07.027","article-title":"Donor selection for faecal microbiota transplantation. Consensus document of the Catalan Society of Gastroenterology and the Catalan Society of Infectious Diseases and Clinical Microbiology","volume":"44","author":"Ar\u00e0jol","year":"2021","journal-title":"Gastroenterol Hepatol"},{"key":"10.1016\/j.jhin.2025.09.004_bib25","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1136\/gutjnl-2018-316106","article-title":"Population-level analysis of Blastocystis subtype prevalence and variation in the human gut microbiota","volume":"68","author":"Tito","year":"2019","journal-title":"Gut"},{"key":"10.1016\/j.jhin.2025.09.004_bib26","doi-asserted-by":"crossref","first-page":"4554","DOI":"10.1016\/j.cell.2024.06.018","article-title":"Intestinal blastocystis is linked to healthier diets and more favorable cardiometabolic outcomes in 56,989 individuals from 32 countries","volume":"187","author":"Piperni","year":"2024","journal-title":"Cell"},{"issue":"15","key":"10.1016\/j.jhin.2025.09.004_bib27","first-page":"407","article-title":"A cross-sectional study on the occurrence of the intestinal protist, Dientamoeba fragilis, in the gut-healthy volunteers and their animals","volume":"23","author":"Jirk\u016f","year":"2022","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.jhin.2025.09.004_bib28","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.actatropica.2017.06.029","article-title":"Molecular epidemiology of Dientamoeba fragilis","volume":"184","author":"Cacci\u00f2","year":"2018","journal-title":"Acta Trop"},{"key":"10.1016\/j.jhin.2025.09.004_bib29","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.eimc.2018.07.008","article-title":"Epidemiological and clinical characteristics of Dientamoeba fragilis infection","volume":"37","author":"Men\u00e9ndez","year":"2019","journal-title":"Enferm Infecc Microbiol Clin (Engl Ed)"},{"key":"10.1016\/j.jhin.2025.09.004_bib30","doi-asserted-by":"crossref","first-page":"461","DOI":"10.3390\/microorganisms12030461","article-title":"Blastocystis: a mysterious member of the gut microbiome","volume":"12","author":"Aykur","year":"2024","journal-title":"Microorganisms"},{"key":"10.1016\/j.jhin.2025.09.004_bib31","doi-asserted-by":"crossref","first-page":"2630","DOI":"10.1093\/cid\/ciz1122","article-title":"Human transmission of blastocystis by fecal microbiota transplantation without development of gastrointestinal symptoms in recipients","volume":"71","author":"Terveer","year":"2020","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib32","doi-asserted-by":"crossref","first-page":"1913","DOI":"10.1038\/s41591-022-01964-3","article-title":"Variability of strain engraftment and predictability of microbiome composition after fecal microbiota transplantation across different diseases","volume":"28","author":"Ianiro","year":"2022","journal-title":"Nat Med"},{"key":"10.1016\/j.jhin.2025.09.004_bib33","doi-asserted-by":"crossref","DOI":"10.1016\/j.micinf.2024.105341","article-title":"Donor screening for fecal microbiota transplantation with a direct stool testing-based strategy: a prospective cohort study","volume":"26","author":"Rondinella","year":"2024","journal-title":"Microbes Infect"},{"key":"10.1016\/j.jhin.2025.09.004_bib34","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1007\/s10096-023-04644-3","article-title":"High carriage rate of extended-spectrum \u03b2-lactamase Enterobacterales and diarrheagenic Escherichia coli in healthy donor screening for fecal microbiota transplantation","volume":"42","author":"Chuang","year":"2023","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib35","doi-asserted-by":"crossref","first-page":"E876","DOI":"10.1093\/cid\/ciaa1486","article-title":"Shiga toxin-producing Escherichia coli transmission via fecal microbiota transplant","volume":"72","author":"Zellmer","year":"2021","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib36","doi-asserted-by":"crossref","first-page":"2527","DOI":"10.3390\/microorganisms11102527","article-title":"Gut microbiota associated with Clostridioides difficile carriage in three clinical groups (inflammatory bowel disease, C. difficile infection and healthcare workers) in hospital field","volume":"11","author":"Martinez","year":"2023","journal-title":"Microorganisms"},{"key":"10.1016\/j.jhin.2025.09.004_bib37","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1186\/1471-2334-13-459","article-title":"Prevalence of Clostridium difficile colonization among healthcare workers","volume":"13","author":"Friedman","year":"2013","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib38","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.cmi.2019.06.027","article-title":"Clostridioides difficile contamination in a clinical microbiology laboratory?","volume":"26","author":"Reigadas","year":"2020","journal-title":"Clin Microbiol Infect"},{"key":"10.1016\/j.jhin.2025.09.004_bib39","unstructured":"US Food & Drug Administration. Fecal microbiota for transplantation: safety communication \u2013 risk of serious adverse reactions due to transmission of multi-drug resistant organisms, n.d. Available at: https:\/\/www.fda.gov\/safety\/medical-product-safety-information\/fecal-microbiota-transplantation-safety-communication-risk-serious-adverse-reactions-due [last accessed September 2024]."},{"key":"10.1016\/j.jhin.2025.09.004_bib40","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.eimc.2021.01.018","article-title":"Stool donor recruitment \u2013 a one-year experience","volume":"40","author":"Aira","year":"2022","journal-title":"Enferm Infecc Microbiol Clin"},{"key":"10.1016\/j.jhin.2025.09.004_bib41","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1093\/cid\/ciw283","article-title":"Fecal colonization with extended-spectrum beta-lactamase-producing Enterobacteriaceae and risk factors among healthy individuals: a systematic review and metaanalysis","volume":"63","author":"Karanika","year":"2016","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib42","doi-asserted-by":"crossref","DOI":"10.1111\/1469-0691.12560","article-title":"A multinational study of colonization with extended spectrum \u03b2-lactamase-producing Enterobacteriaceae in healthcare personnel and family members of carrier patients hospitalized in rehabilitation centres","volume":"20","author":"Adler","year":"2014","journal-title":"Clin Microbiol Infect"},{"key":"10.1016\/j.jhin.2025.09.004_bib43","doi-asserted-by":"crossref","first-page":"82.e1","DOI":"10.1016\/j.cmi.2017.05.010","article-title":"Healthcare personnel intestinal colonization with multidrug-resistant organisms","volume":"24","author":"Decker","year":"2018","journal-title":"Clin Microbiol Infect"},{"key":"10.1016\/j.jhin.2025.09.004_bib44","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1016\/j.ajic.2016.02.027","article-title":"Rate of colonization of health care workers by carbapenem-resistant Enterobacteriaceae in an endemic hospital: a prospective study","volume":"44","author":"Bitterman","year":"2016","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.jhin.2025.09.004_bib45","doi-asserted-by":"crossref","first-page":"649.e1","DOI":"10.1016\/j.cmi.2020.01.015","article-title":"Prospective multicentre study of rectal carriage of multidrug-resistant Enterobacteriaceae among health-care workers in Spain","volume":"26","author":"Fern\u00e1ndez-Verdugo","year":"2020","journal-title":"Clin Microbiol Infect"},{"key":"10.1016\/j.jhin.2025.09.004_bib46","doi-asserted-by":"crossref","DOI":"10.1128\/aac.00985-24","article-title":"Colonization with resistant bacteria in hospital employees: an epidemiological surveillance and typing study","volume":"68","author":"Badinski","year":"2024","journal-title":"Antimicrob Agents Chemother"},{"key":"10.1016\/j.jhin.2025.09.004_bib47","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1016\/j.dld.2021.04.009","article-title":"Donor program for fecal microbiota transplantation: a 3-year experience of a large-volume Italian stool bank","volume":"53","author":"Ianiro","year":"2021","journal-title":"Dig Liver Dis"},{"key":"10.1016\/j.jhin.2025.09.004_bib48","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1186\/s12934-021-01705-0","article-title":"A comprehensive approach to stool donor screening for faecal microbiota transplantation in China","volume":"20","author":"He","year":"2021","journal-title":"Microb Cell Fact"},{"key":"10.1016\/j.jhin.2025.09.004_bib49","doi-asserted-by":"crossref","DOI":"10.1016\/j.micinf.2024.105341","article-title":"Donor screening for fecal microbiota transplantation with a direct stool testing-based strategy: a prospective cohort study","volume":"26","author":"Rondinella","year":"2024","journal-title":"Microbes Infect"}],"container-title":["Journal of Hospital Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0195670125002774?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0195670125002774?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T21:34:28Z","timestamp":1762292068000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0195670125002774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":49,"alternative-id":["S0195670125002774"],"URL":"https:\/\/doi.org\/10.1016\/j.jhin.2025.09.004","relation":{},"ISSN":["0195-6701"],"issn-type":[{"value":"0195-6701","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Assessing healthcare workers as potential stool donors for faecal microbiota transplantation: a cross-sectional study of antimicrobial-resistant gut bacteria and enteropathogenic micro-organisms","name":"articletitle","label":"Article Title"},{"value":"Journal of Hospital Infection","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhin.2025.09.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Healthcare Infection Society. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}