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Updated: Aug 6, 2026

Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
Factors influencing the composition of the intestinal microbiota in early infancy
John Penders1, Carel Thijs, Cornelis Vink
1Department of Epidemiology, Nutrition and Toxicology Research Institute Maastricht, Maastricht University, PO Box 616, 6200 MD Maastricht, Netherlands. j.penders@epid.unimaas.nl
Insights
Mode of delivery, infant feeding, and antibiotic use significantly shape infant gut microbiota. Vaginal birth, breastfeeding, and no antibiotics promote a beneficial gut microbiome with higher bifidobacteria and lower C. difficile and E. coli.
Area of Science:
- Microbiology
- Pediatrics
- Public Health
Background:
- The gut microbiome plays a critical role in infant health and development.
- Early life microbial colonization is influenced by various external factors.
- Understanding these influences is key to promoting healthy infant gut development.
Purpose of the Study:
- To investigate the impact of diverse external factors on infant gut microbiota composition.
- To identify key determinants shaping the gut microbial landscape in early infancy.
Main Methods:
- Quantitative real-time polymerase chain reaction (qPCR) was used to enumerate specific bacteria (Bifidobacteria, E. coli, C. difficile, Bacteroides, Lactobacilli) in fecal samples from 1032 infants.
- Data on potential influencing factors were collected via repeated questionnaires.
- Univariate and multivariate analyses were employed to assess associations between factors and bacterial populations.
Main Results:
- Cesarean birth was linked to lower Bifidobacteria and Bacteroides, and higher C. difficile colonization.
- Formula feeding was associated with higher E. coli, C. difficile, Bacteroides, and Lactobacilli compared to breastfeeding.
- Hospitalization, prematurity, and infant antibiotic use correlated with increased C. difficile and reduced Bifidobacteria/Bacteroides.
- Presence of older siblings showed a slight increase in Bifidobacteria.
Conclusions:
- Mode of delivery, infant feeding type, gestational age, hospitalization, and antibiotic exposure are primary determinants of infant gut microbiota.
- Infants born vaginally at home and exclusively breastfed exhibited the most favorable gut microbiota profiles, characterized by high Bifidobacteria and low C. difficile and E. coli counts.
Objective:
The aim of this study was to examine the contribution of a broad range of external influences to the gut microbiotic composition in early infancy.
Methods:
Fecal samples from 1032 infants at 1 month of age, who were recruited from the KOALA Birth Cohort Study in the Netherlands, were subjected to quantitative real-time polymerase chain reaction assays for the enumeration of bifidobacteria, Escherichia coli, Clostridium difficile, Bacteroides fragilis group, lactobacilli, and total bacterial counts. Information on potential determinants of the gut microbiotic composition was collected with repeated questionnaires. The associations between these factors and the selected gut bacteria were analyzed with univariate and multivariate analyses.
Results:
Infants born through cesarean section had lower numbers of bifidobacteria and Bacteroides, whereas they were more often colonized with C difficile, compared with vaginally born infants. Exclusively formula-fed infants were more often colonized with E coli, C difficile, Bacteroides, and lactobacilli, compared with breastfed infants. Hospitalization and prematurity were associated with higher prevalence and counts of C difficile. Antibiotic use by the infant was associated with decreased numbers of bifidobacteria and Bacteroides. Infants with older siblings had slightly higher numbers of bifidobacteria, compared with infants without siblings.
Conclusions:
The most important determinants of the gut microbiotic composition in infants were the mode of delivery, type of infant feeding, gestational age, infant hospitalization, and antibiotic use by the infant. Term infants who were born vaginally at home and were breastfed exclusively seemed to have the most "beneficial" gut microbiota (highest numbers of bifidobacteria and lowest numbers of C difficile and E coli).
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