Time Series Analysis of the Microbiota of Children Suffering From Acute Infectious Diarrhea and Their Recovery After

Ener C Dinleyici1, Daniel Martínez-Martínez2, Ates Kara3

  • 1Department of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.

Insights

Probiotic treatment with Saccharomyces boulardii helped children recover from rotavirus diarrhea by restoring gut microbiota diversity. This study tracked microbiota changes over 30 days, revealing a shift from a diseased to a healthy state.

Area of Science:

  • Microbiology
  • Pediatrics
  • Gastroenterology

Background:

  • Acute infectious diarrhea is a major global health issue in children.
  • Gut microbiota plays a crucial role in diarrhea and recovery.
  • Understanding microbiota dynamics during recovery is clinically important.

Purpose of the Study:

  • To correlate gut microbiota dynamics with the recovery of children suffering from rotavirus-induced acute infectious diarrhea.
  • To evaluate the effect of Saccharomyces boulardii CNCM I-745 on microbiota recovery.
  • To analyze temporal stability and composition changes in the gut microbiota during and after diarrhea.

Main Methods:

  • Study included 10 children with rotavirus diarrhea and 6 healthy controls (3-4 years old).
  • Rotavirus-infected children received Saccharomyces boulardii CNCM I-745 for 5 days.
  • Fecal samples were collected at multiple time points (0, 3, 5, 10, 30 days) for 16S rRNA gene sequencing, diversity analysis, and dynamical analysis (Taylor's law).

Main Results:

  • All rotavirus-infected children ceased diarrhea by day 3 post-intervention.
  • Alpha diversity was low in the first 5 days, increasing by days 10 and 30.
  • Gut microbiota composition differed between infected and healthy children initially, but normalized by the end of the study. Gammaproteobacteria abundance decreased with recovery.

Conclusions:

  • Saccharomyces boulardii CNCM I-745 administration facilitated the transition of gut microbiota from a diseased to a healthy state in children with rotavirus diarrhea.
  • Time-series analysis of gut microbiota is crucial for understanding and characterizing dysbiosis related to diarrhea.
  • The study provides valuable clinical insights into microbiota recovery dynamics post-diarrhea.

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