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Updated: Oct 13, 2026

Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
Comparison of the effects of hospitalization and antibiotic usage on the aerobic intestinal flora
I Palabiyikoğlu1, K Keven, J S Bengisun
1Laboratory of Clinical Bacteriology, Ibn-i Sina Hospital, Medical Faculty of Ankara University, Turkey.
Abstract:
Antimicrobial resistance among bacteria has arisen ever since antimicrobial agents were introduced in the clinic. Unfortunately, it seems that resistance is now emerging at a more rapid rate than ever before, as a consequence of the widespread use of antimicrobial agents. The spread of these multiresistant microorganisms is an increasing threat in many countries. The human intestinal flora is a huge potential reservoir of resistant microorganisms. Antimicrobial resistance in clinical isolates may cause serious infections and treatment failure, and lead to the use of higher doses or more toxic alternative drugs. This study was planned so as to compare the effects of hospitalization and antibiotic usage on the aerobic intestinal flora and included 43 hospitalized adult patients without any previous history of hospitalization and antibiotic usage during the last 30 d. Patients were divided according to their antimicrobial therapy, into treated and untreated groups. The individual use of antimicrobials was recorded. Antibiotic usage was found to be more effective on the aerobic intestinal flora compared with hospitalization without such medication.
Insights
Antibiotic use significantly impacts the aerobic intestinal flora more than hospitalization alone. This highlights the critical role of antimicrobial stewardship in managing the spread of resistant bacteria.
Area of Science:
- Microbiology
- Clinical Medicine
- Pharmacology
Background:
- Antimicrobial resistance (AMR) is a growing global health threat, exacerbated by the widespread use of antimicrobial agents.
- Multiresistant microorganisms pose an increasing risk, with the human intestinal flora serving as a significant reservoir.
- AMR in clinical settings can lead to severe infections, treatment failures, and the need for more toxic drugs.
Purpose of the Study:
- To compare the effects of hospitalization versus antibiotic usage on the aerobic intestinal flora.
- To investigate the impact of antimicrobial therapy on the gut microbiota composition.
Main Methods:
- A study involving 43 hospitalized adult patients with no recent history of hospitalization or antibiotic use.
- Patients were categorized into antibiotic-treated and untreated groups based on their antimicrobial therapy.
- Individual antimicrobial usage was meticulously recorded and analyzed.
Main Results:
- Antibiotic usage demonstrated a more pronounced effect on the aerobic intestinal flora compared to hospitalization alone.
- Significant alterations in the gut microbiota were observed in patients receiving antimicrobial treatment.
- Hospitalization without antibiotic medication had a lesser impact on the aerobic intestinal flora.
Conclusions:
- Antibiotic administration is a primary driver of changes in the aerobic intestinal flora.
- Prudent antimicrobial stewardship is essential to mitigate the development and spread of antibiotic resistance.
- Understanding the impact of treatments on the gut microbiome is crucial for clinical practice.
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