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Published on: May 2, 2018
The Intestinal Microbiome in Infectious Diseases: The Clinical Relevance of a Rapidly Emerging Field
Vanessa C Harris1,2, Bastiaan W Haak1, Michaël Boele van Hensbroek2,3
1Department of Medicine, Division of Infectious Diseases and Center for Experimental and Molecular Medicine, Academic Medical Center, Amsterdam, Netherlands.
Abstract:
The field of infectious disease is undergoing a paradigm shift as the intestinal microbiome is becoming understood. The aim of this review is to inform infectious disease physicians of the potential relevance of the intestinal microbiome to their practice. We searched Medline using both index and text words relating to infectious diseases, microbiome, and probiotics. Relevant articles published up through 2017 were reviewed within Rayyan. The review illustrates pathophysiologic concepts linking the microbiome and infectious diseases; specifically, the intestinal microbiome's relevance to early immune development, the microbiome and enteric infections, the microbiome's relevance in compromised hosts, and antimicrobial resistance. Within each subject, there are specific examples of diseases and at-risk patient populations where a role for the microbiome has been strongly established. This provides an overview of the significance of the intestinal microbiome to microbiology, pediatric and adult infectious diseases with an underpinning of concepts useful for the practicing clinician.
Insights
The intestinal microbiome significantly impacts infectious diseases, influencing immune development, enteric infections, and antimicrobial resistance. Understanding this gut microbiome is crucial for infectious disease physicians in clinical practice.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- The intestinal microbiome's role in health and disease is increasingly recognized.
- A paradigm shift is occurring in infectious disease understanding due to microbiome research.
Purpose of the Study:
- To inform infectious disease physicians about the clinical relevance of the intestinal microbiome.
- To review the pathophysiologic links between the microbiome and various infectious conditions.
Main Methods:
- Systematic literature search of Medline using keywords: infectious diseases, microbiome, probiotics.
- Review of relevant articles published up to 2017 using Rayyan software.
Main Results:
- The intestinal microbiome influences early immune development.
- It plays a role in enteric infections and in compromised host susceptibility.
- Microbiome alterations are linked to antimicrobial resistance.
Conclusions:
- The intestinal microbiome is integral to microbiology and pediatric/adult infectious diseases.
- Clinicians can utilize microbiome concepts for improved patient care.
- Established roles in specific diseases and at-risk populations highlight its significance.
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