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Published on: January 27, 2019
Parenteral antibiotics reduce bifidobacteria colonization and diversity in neonates
Séamus Hussey1, Rebecca Wall, Emma Gruffman
1Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Insights
Parenteral antibiotic treatment in newborns disrupts the natural development of beneficial bifidobacteria. This early-life gut microbiome disturbance may impact infant health, necessitating further research into probiotic interventions.
Area of Science:
- Microbiology
- Neonatal Health
- Gut Microbiome Research
Background:
- The early neonatal period is critical for establishing the infant gut microbiome.
- Bifidobacteria are essential beneficial bacteria for infant gut health.
- Parenteral antibiotic use in newborns is common but its impact on the microbiome is not fully understood.
Purpose of the Study:
- To investigate the effect of early-life parenteral antibiotic treatment on Bifidobacterium colonization in newborns.
- To compare Bifidobacterium diversity in antibiotic-treated neonates versus controls.
Main Methods:
- Study included nine neonates treated with intravenous ampicillin/gentamicin and nine controls.
- Stool samples were collected at four and eight weeks of life.
- Denaturing gradient gel electrophoresis (DGGE) analyzed Bifidobacterium composition and diversity.
Main Results:
- Bifidobacteria were detected in all control infants at 4 and 8 weeks.
- Detectable Bifidobacteria were found in only 6/9 antibiotic-treated infants at 4 weeks and 8/9 at 8 weeks.
- Control infants exhibited greater Bifidobacterium species diversity compared to antibiotic-treated infants.
Conclusions:
- Short-term parenteral antibiotic therapy in neonates disrupts Bifidobacterium colonization patterns.
- This early-life antibiotic exposure impacts the developing gut microbiome.
- Further research is needed to assess the necessity of probiotic supplementation for affected infants.
Abstract:
We investigated the impact of parenteral antibiotic treatment in the early neonatal period on the evolution of bifidobacteria in the newborn. Nine babies treated with intravenous ampicillin/gentamicin in the first week of life and nine controls (no antibiotic treatment) were studied. Denaturing gradient gel electrophoresis was used to investigate the composition of Bifidobacterium in stool samples taken at four and eight weeks. Bifidobacteria were detected in all control infants at both four and eight weeks, while only six of nine antibiotic-treated infants had detectable bifidobacteria at four weeks and eight of nine at eight weeks. Moreover, stool samples of controls showed greater diversity of Bifidobacterium spp. compared with antibiotic-treated infants. In conclusion, short-term parenteral antibiotic treatment of neonates causes a disturbance in the expected colonization pattern of bifidobacteria in the first months of life. Further studies are required to probiotic determine if supplementation is necessary in this patient group.
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