Intestinal Microbiota Development in Preterm Neonates and Effect of Perinatal Antibiotics

Objectives To assess the establishment of the intestinal microbiota in very low birthweight preterm infants and to evaluate the impact of perinatal factors, such as delivery mode and perinatal antibiotics. Study design We used 16S ribosomal RNA gene sequence-based microbiota analysis and quantitativ...

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Veröffentlicht in:The Journal of pediatrics 2015-03, Vol.166 (3), p.538-544
Hauptverfasser: Arboleya, Silvia, MSc, Sánchez, Borja, PhD, Milani, Christian, MSc, Duranti, Sabrina, MSc, Solís, Gonzalo, PhD, Fernández, Nuria, PhD, de los Reyes-Gavilán, Clara G., PhD, Ventura, Marco, PhD, Margolles, Abelardo, PhD, Gueimonde, Miguel, PhD
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container_end_page 544
container_issue 3
container_start_page 538
container_title The Journal of pediatrics
container_volume 166
creator Arboleya, Silvia, MSc
Sánchez, Borja, PhD
Milani, Christian, MSc
Duranti, Sabrina, MSc
Solís, Gonzalo, PhD
Fernández, Nuria, PhD
de los Reyes-Gavilán, Clara G., PhD
Ventura, Marco, PhD
Margolles, Abelardo, PhD
Gueimonde, Miguel, PhD
description Objectives To assess the establishment of the intestinal microbiota in very low birthweight preterm infants and to evaluate the impact of perinatal factors, such as delivery mode and perinatal antibiotics. Study design We used 16S ribosomal RNA gene sequence-based microbiota analysis and quantitative polymerase chain reaction to evaluate the establishment of the intestinal microbiota. We also evaluated factors affecting the microbiota, during the first 3 months of life in preterm infants (n = 27) compared with full-term babies (n = 13). Results Immaturity affects the microbiota as indicated by a reduced percentage of the family Bacteroidaceae during the first months of life and by a higher initial percentage of Lactobacillaceae in preterm infants compared with full term infants. Perinatal antibiotics, including intrapartum antimicrobial prophylaxis, affects the gut microbiota, as indicated by increased Enterobacteriaceae family organisms in the infants. Conclusions Prematurity and perinatal antibiotic administration strongly affect the initial establishment of microbiota with potential consequences for later health.
doi_str_mv 10.1016/j.jpeds.2014.09.041
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Study design We used 16S ribosomal RNA gene sequence-based microbiota analysis and quantitative polymerase chain reaction to evaluate the establishment of the intestinal microbiota. We also evaluated factors affecting the microbiota, during the first 3 months of life in preterm infants (n = 27) compared with full-term babies (n = 13). Results Immaturity affects the microbiota as indicated by a reduced percentage of the family Bacteroidaceae during the first months of life and by a higher initial percentage of Lactobacillaceae in preterm infants compared with full term infants. Perinatal antibiotics, including intrapartum antimicrobial prophylaxis, affects the gut microbiota, as indicated by increased Enterobacteriaceae family organisms in the infants. Conclusions Prematurity and perinatal antibiotic administration strongly affect the initial establishment of microbiota with potential consequences for later health.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2014.09.041</identifier><identifier>PMID: 25444008</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anti-Bacterial Agents - pharmacology ; Female ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - genetics ; Infant, Premature, Diseases - microbiology ; Intestines - microbiology ; Male ; Microbiota - drug effects ; Microbiota - genetics ; Pediatrics ; Polymerase Chain Reaction ; RNA, Ribosomal, 16S - genetics</subject><ispartof>The Journal of pediatrics, 2015-03, Vol.166 (3), p.538-544</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. 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Study design We used 16S ribosomal RNA gene sequence-based microbiota analysis and quantitative polymerase chain reaction to evaluate the establishment of the intestinal microbiota. We also evaluated factors affecting the microbiota, during the first 3 months of life in preterm infants (n = 27) compared with full-term babies (n = 13). Results Immaturity affects the microbiota as indicated by a reduced percentage of the family Bacteroidaceae during the first months of life and by a higher initial percentage of Lactobacillaceae in preterm infants compared with full term infants. Perinatal antibiotics, including intrapartum antimicrobial prophylaxis, affects the gut microbiota, as indicated by increased Enterobacteriaceae family organisms in the infants. 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subjects Anti-Bacterial Agents - pharmacology
Female
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - genetics
Infant, Premature, Diseases - microbiology
Intestines - microbiology
Male
Microbiota - drug effects
Microbiota - genetics
Pediatrics
Polymerase Chain Reaction
RNA, Ribosomal, 16S - genetics
title Intestinal Microbiota Development in Preterm Neonates and Effect of Perinatal Antibiotics
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