Changes to Gut Microbiota Following Systemic Antibiotic Administration in Infants

Yoowon Kwon1, Young-Sun Cho2, Yoo-Mi Lee2

  • 1Department of Pediatrics, Chungnam National University Sejong Hospital, Sejong 30035, Korea.

Insights

Systemic antibiotics in early infancy alter the gut microbiome, increasing some bacteria like Escherichia/Shigella and Bifidobacterium while decreasing Bacteroides. This gut dysbiosis persists even one month after treatment, impacting infant health.

Area of Science:

  • Microbiology
  • Pediatric Medicine
  • Gastroenterology

Background:

  • Long-term antibiotic use is linked to systemic diseases like obesity, allergy, and depression, often due to gut microbiome imbalance.
  • The impact of early-life antibiotic exposure on infant gut microbiome development is not well understood.

Purpose of the Study:

  • To investigate the gut microbiome composition in infants following systemic antibiotic treatment.
  • To assess alterations in bacterial abundance and diversity in the infant gut microbiome after antibiotic exposure.

Main Methods:

  • Fecal samples were collected from 20 infants (under 3 months) who received antibiotics for at least 3 days, 4 weeks post-treatment.
  • 34 age-matched healthy infants without antibiotic exposure served as controls.
  • 16S rRNA gene sequencing was used to analyze relative bacterial abundance, alpha, and beta diversity.

Main Results:

  • Infants treated with antibiotics showed increased relative abundance of Escherichia/Shigella and Bifidobacterium.
  • A decreased relative abundance of Bacteroides was observed in the antibiotic-treated group.
  • The gut microbiome in the antibiotic-treated group exhibited significantly lower alpha diversity compared to controls.

Conclusions:

  • Systemic antibiotic administration in early infancy demonstrably affects gut microbiome composition.
  • These alterations in the infant gut microbiome can persist for at least one month post-antibiotic treatment.
  • Further long-term studies are necessary to fully understand the lasting consequences of early-life antibiotic exposure on infant gut health and systemic disease risk.

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