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Updated: Dec 24, 2025

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Understanding the Elements of Maternal Protection from Systemic Bacterial Infections during Early Life
Sierra A Kleist1, Kathryn A Knoop1
1Department of Immunology, Mayo Clinic, Rochester, MN 55905, USA.
Insights
Breastfeeding may protect newborns from late-onset sepsis (LOS) by preventing gut bacteria from entering the bloodstream. This review explores how breast milk components combat infant infections.
Area of Science:
- Neonatal Health
- Microbiology
- Immunology
Background:
- Late-onset sepsis (LOS) is a significant cause of death in premature infants.
- Breastfeeding offers numerous short-term and long-term health advantages for newborns.
- The protective mechanisms of breastfeeding against LOS are not fully understood.
Purpose of the Study:
- To review how gut pathogens contribute to infant sepsis.
- To explore breast milk components that prevent pathogen dissemination.
- To understand the link between breastfeeding and reduced LOS risk.
Main Methods:
- Literature review of studies on infant sepsis, gut microbiota, and breast milk composition.
- Analysis of pathogen translocation from the infant gut.
- Examination of bioactive components in breast milk.
Main Results:
- Gut microbiota can be a source of pathogens causing sepsis in infants.
- Specific breast milk components can inhibit pathogen growth and adhesion.
- Breast milk may prevent the spread of bacteria from the intestine into the bloodstream.
Conclusions:
- Breastfeeding is crucial for reducing the risk of late-onset sepsis in newborns.
- Understanding breast milk's role in preventing pathogen dissemination can inform infant feeding strategies.
- Further research can elucidate specific bioactive factors in breast milk for enhanced protection.
Abstract:
Late-onset sepsis (LOS) and other systemic bloodstream infections are notable causes of neonatal mortality, particularly in prematurely born very low birth weight infants. Breastfeeding in early life has numerous health benefits, impacting the health of the newborn in both the short-term and in the long-term. Though the known benefits of an exclusive mother's own milk diet in early life have been well recognized and described, it is less understood how breastfed infants enjoy a potential reduction in risk of LOS and other systemic infections. Here we review how gut residing pathogens within the intestinal microbiota of infants can cause a subset of sepsis cases and the components of breastmilk that may prevent the dissemination of pathogens from the intestine.
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