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围产期抗生素对新生儿肠道微生物群的影响:一个前性队列研究
Faiza Iqbal1, Padmaja A Shenoy2, Leslie Edward S Lewis3
1Department of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Udupi District, Manipal, Karnataka, 576104, India.
BMC pediatrics
|July 20, 2025
概括
周产期的抗生素暴露显著改变了早产婴儿的肠道微生物组,增加了诸如Klebsiella pneumoniae之类的致病细菌,并减少了有益的Bifidobacterium spp.
科学领域:
- 微生物学 微生物学
- 新生儿医学 新生儿医学
- 儿科 儿科 儿科
背景情况:
- 肠道微生物组在早期免疫和代谢发育中起着至关重要的作用.
- 围产期抗生素的使用显著影响新生儿肠道微生物群.
- 了解这些影响对于早产婴儿的健康至关重要.
研究的目的:
- 研究母婴和新生儿抗生素暴露对早产婴儿肠道微生物组合的影响.
- 为了比较不同抗生素暴露组的微生物组概况.
主要方法:
- 在新生儿重症监护病房进行前性受控队列研究.
- 包括早产婴儿 (妊娠年龄<37周).
- 分类为四组:没有暴露,仅婴儿暴露,仅母体暴露,婴儿和母体暴露. 通过对流培养进行便样本分析.
主要成果:
- 暴露于抗生素 (婴儿,母亲或两者) 增加了潜在的致病细菌 (Klebsiella pneumoniae,大肠杆菌) 的丰富性.
- 有益细菌 (Bifidobacterium spp.) 是一种有益的细菌. 在没有接触过抗生素的婴儿中更为丰富.
- 在婴儿中,Klebsiella肺炎的患病率在第4天暴露时显著增加.
结论:
- 围产期抗生素暴露与新生儿肠道微生物群的显著改变有关.
- 这些变化可能会导致病原性细菌的丰富性增加.
- 研究结果突出显示,在产前期使用抗生素对早产婴儿的潜在风险.
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