PMID- 32380969 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1471-2431 (Electronic) IS - 1471-2431 (Linking) VI - 20 IP - 1 DP - 2020 May 7 TI - Dynamics of the bacterial gut microbiota in preterm and term infants after intravenous amoxicillin/ceftazidime treatment. PG - 195 LID - 10.1186/s12887-020-02067-z [doi] LID - 195 AB - BACKGROUND: It is important to understand the consequences of pre-emptive antibiotic treatment in neonates, as disturbances in microbiota development during this key developmental time window might affect early and later life health outcomes. Despite increasing knowledge regarding the detrimental effect of antibiotics on the gut microbiota, limited research focussed on antibiotic treatment duration. We determined the effect of short and long amoxicillin/ceftazidime administration on gut microbiota development during the immediate postnatal life of preterm and term infants. METHODS: Faeces was collected from 63 (pre) term infants at postnatal weeks one, two, three, four and six. Infants received either no (control), short-term (ST) or long-term (LT) postpartum amoxicillin/ceftazidime treatment. RESULTS: Compared to control infants, ST and LT infants' microbiota contained significantly higher abundance of Enterococcus during the first two postnatal weeks at the expense of Bifidobacterium and Streptococcus. Short and long antibiotic treatment both allowed for microbiota restoration within the first six postnatal weeks. However, Enterococcus and Bifidobacterium abundances were affected in fewer ST than LT infants. CONCLUSIONS: Intravenous amoxicillin/ceftazidime administration affects intestinal microbiota composition by decreasing the relative abundance of Escherichia-Shigella and Streptococcus, while increasing the relative abundance of Enterococcus and Lactobacillus species during the first two postnatal weeks. Thriving of enterococci at the expense of bifidobacteria and streptococci should be considered as aspect of the cost-benefit determination for antibiotic prescription. FAU - Zwittink, Romy D AU - Zwittink RD AD - Laboratory of Microbiology, Wageningen University, Stippeneng 4, 6708WE, Wageningen, The Netherlands. FAU - van Zoeren-Grobben, Diny AU - van Zoeren-Grobben D AD - Princess Amalia Dpt of Paediatrics, Dpt of Neonatology, Isala, Zwolle, The Netherlands. FAU - Renes, Ingrid B AU - Renes IB AD - Danone Nutricia Research, Utrecht, The Netherlands. FAU - van Lingen, Richard A AU - van Lingen RA AD - Princess Amalia Dpt of Paediatrics, Dpt of Neonatology, Isala, Zwolle, The Netherlands. FAU - Norbruis, Obbe F AU - Norbruis OF AD - Princess Amalia Dpt of Paediatrics, Dpt of Neonatology, Isala, Zwolle, The Netherlands. FAU - Martin, Rocio AU - Martin R AD - Danone Nutricia Research, Utrecht, The Netherlands. FAU - Groot Jebbink, Liesbeth J AU - Groot Jebbink LJ AD - Princess Amalia Dpt of Paediatrics, Dpt of Neonatology, Isala, Zwolle, The Netherlands. FAU - Knol, Jan AU - Knol J AD - Laboratory of Microbiology, Wageningen University, Stippeneng 4, 6708WE, Wageningen, The Netherlands. AD - Danone Nutricia Research, Utrecht, The Netherlands. FAU - Belzer, Clara AU - Belzer C AD - Laboratory of Microbiology, Wageningen University, Stippeneng 4, 6708WE, Wageningen, The Netherlands. clara.belzer@wur.nl. LA - eng PT - Journal Article DEP - 20200507 PL - England TA - BMC Pediatr JT - BMC pediatrics JID - 100967804 RN - 0 (RNA, Ribosomal, 16S) RN - 804826J2HU (Amoxicillin) RN - 9M416Z9QNR (Ceftazidime) SB - IM MH - Amoxicillin MH - Ceftazidime MH - Feces MH - Female MH - *Gastrointestinal Microbiome MH - Humans MH - Infant MH - Infant, Newborn MH - Infant, Premature MH - RNA, Ribosomal, 16S PMC - PMC7204001 OTO - NOTNLM OT - Antibiotics OT - Gut microbiota OT - Infant OT - Next generation sequencing OT - Preterm COIS- The authors IBR, RM and JK are employees of Danone Nutricia Research. The authors RDZ and CB were financially supported by Danone Nutricia Research. EDAT- 2020/05/10 06:00 MHDA- 2021/05/15 06:00 PMCR- 2020/05/07 CRDT- 2020/05/09 06:00 PHST- 2018/12/18 00:00 [received] PHST- 2020/04/01 00:00 [accepted] PHST- 2020/05/09 06:00 [entrez] PHST- 2020/05/10 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/05/07 00:00 [pmc-release] AID - 10.1186/s12887-020-02067-z [pii] AID - 2067 [pii] AID - 10.1186/s12887-020-02067-z [doi] PST - epublish SO - BMC Pediatr. 2020 May 7;20(1):195. doi: 10.1186/s12887-020-02067-z.