Identification of bacterial invasion in necrotizing enterocolitis specimens using fluorescent in situ hybridization

Objective: Investigation of bacterial invasion into the intestinal wall in necrotizing enterocolitis (NEC) specimens. Study Design: We compared 43 surgical NEC specimens with 43 age-matched controls. We used fluorescent in situ hybridization (FISH), a universal bacterial probe together with species-...

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Veröffentlicht in:Journal of perinatology 2017-01, Vol.37 (1), p.67-72
Hauptverfasser: Heida, F H, Harmsen, H J M, Timmer, A, Kooi, E M W, Bos, A F, Hulscher, J B F
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container_issue 1
container_start_page 67
container_title Journal of perinatology
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creator Heida, F H
Harmsen, H J M
Timmer, A
Kooi, E M W
Bos, A F
Hulscher, J B F
description Objective: Investigation of bacterial invasion into the intestinal wall in necrotizing enterocolitis (NEC) specimens. Study Design: We compared 43 surgical NEC specimens with 43 age-matched controls. We used fluorescent in situ hybridization (FISH), a universal bacterial probe together with species-specific probes for Clostridium spp., Enterobacteriaceae , bacteroides and enterococci/lactobacilli. We used a FISH scoring system to reveal invasion of the intestinal wall, in which 1 represented no colonies and 4 invasion of the intestinal wall. Results: We observed invasion of the intestinal wall in 22/43 of the most affected NEC tissue samples as compared with 16/43 in the least affected NEC tissue samples ( P =0.03). A FISH score of 4 was reached in 7/43 control cases. Enterobacteriaceae dominated the NEC specimens. Clostridium spp. were detected occasionally in NEC samples. Conclusion: Bacterial invasion of the intestinal wall is more present in most affected NEC tissue samples compared with least affected NEC tissue samples or controls. Enterobacteriaceae are prevalent in advanced NEC.
doi_str_mv 10.1038/jp.2016.165
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Enterobacteriaceae are prevalent in advanced NEC.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>27684417</pmid><doi>10.1038/jp.2016.165</doi><tpages>6</tpages></addata></record>
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subjects 692/308/575
692/420/256/2516
96
96/34
96/35
Age
Autopsies
Bacteria
Bacteroides
Birth weight
Breastfeeding & lactation
Case-Control Studies
Clostridium
Clostridium - isolation & purification
Diagnosis
Enterobacteriaceae
Enterobacteriaceae - isolation & purification
Enterocolitis, Necrotizing - pathology
Enterocolitis, Necrotizing - surgery
Female
Fluorescence in situ hybridization
Hospitals
Humans
Hybridization
In Situ Hybridization, Fluorescence
Infant, Newborn
Intestines - microbiology
Intestines - pathology
Lactobacillus
Male
Medicine
Medicine & Public Health
Microbiota
Necrotizing enterocolitis
Neonatal care
Netherlands
Newborn babies
original-article
Pathology
Pediatric Surgery
Pediatrics
Premature babies
Retrospective Studies
Risk factors
Surgery
Tertiary Care Centers
title Identification of bacterial invasion in necrotizing enterocolitis specimens using fluorescent in situ hybridization
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