BMJ GUT February 2026:Towards optimising and standardising donor screening for faecal microbiota transplantion.

To address the lack of uniform evidence-based standards, this article proposes a rationalized framework for screening stool donors to ensure the safety of fecal microbiota transplants. The authors conducted a comparative review of existing guidelines and utilized an expert Delphi process to balance the prevention of pathogen transmission with the need to maintain an adequate donor supply. By advocating for increased transparency and rigorous record-keeping, the text emphasizes a structured approach to tracking donor health and procedural outcomes. Ultimately, the research aims to modernize clinical practices by integrating emerging metagenomic technologies to better identify potential risks and streamline the donor selection process.