Biofilms associated with bowel necrosis: A newly recognised phenomenon in infants

Giulia Brisighelli1, Sharon Cox, Andre Theron

  • 1UOC Chirurgia Pediatrica, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa. giuliabrisighelli@gmail.com.

Abstract

Insights

Biofilms were identified in the necrotic bowel tissue of three infants who died from sepsis. This finding suggests a potential link between biofilms and severe intestinal complications in neonates.

Area of Science:

  • Microbiology
  • Pathology
  • Neonatal Medicine

Background:

  • Biofilms are microbial communities encased in a matrix, adhering to surfaces.
  • Understanding biofilm formation is crucial in various medical contexts.

Observation:

  • Three infant cases of bowel necrosis were analyzed.
  • Bowel necrosis was associated with sepsis and mortality despite antibiotic treatment.

Findings:

  • Klebsiella pneumoniae was cultured from peritoneal pus in all cases.
  • Histological examination revealed Gram-negative bacteria within a mucopolysaccharide matrix in necrotic bowel tissue.
  • Biofilm presence was confirmed in necrotic bowel specimens.

Implications:

  • The clinical significance of biofilms in bowel necrosis requires further investigation.
  • Routine evaluation of resected necrotic bowel for biofilms may be warranted.
  • This research highlights a potential factor in neonatal sepsis and intestinal failure.

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