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早期 β-乳酸暴露和发展中的微生物组:临床相关性和争议
Nilima Rajpal Kundnani1,2, Abhinav Sharma1,3, Mihaela Codrina Levai4,5
1University Clinic of Internal Medicine and Ambulatory Care, Prevention and Cardiovascular Recovery, Department VI-Cardiology, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Microorganisms
|February 27, 2026
概括
早期接触β-乳糖抗生素会改变儿科微生物组,减少像Bifidobacterium这样的有益细菌. 虽然对健康结果的影响尚不清楚,但抗生素管理仍然至关重要.
科学领域:
- 微生物学 微生物学
- 儿科健康 儿科健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗生素诱导的失生症与儿科结果有关,但缺乏一致的定义.
- 生命早期的微生物群发育对于长期健康至关重要.
研究的目的:
- 批判性地评估有关早期β-乳糖抗生素暴露的数据及其对发展中微生物群的影响.
- 综合当前关于微生物组变化和潜在健康影响的知识.
主要方法:
- 进行了实验和流行病学研究的叙事审查.
- 包括在怀孕期间,围产期和幼儿期检查β-乳酸暴露的研究.
主要成果:
- β-乳酸盐会导致可再生微生物组的变化:减少Bifidobacterium/Lactobacillus,增加Enterobacteriaceae.
- 观察到微生物多样性的减少和变化的短链脂肪酸生产者.
- 与免疫,代谢和神经发育结果的关联是不一致和混的.
结论:
- 尽管有动物模型证据,与β-乳酸相关的健康结果的人类因果关系仍然有限.
- 在关键发育时期,微生物组的干扰可能会增加易感性.
- 抗生素管理是必不可少的,强调适当的使用和持续时间.
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