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Intestinal microbial profiles in extremely preterm infants with and without necrotizing enterocolitis
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Pediatrisk inflammationsforskning/Nevéus)
Department of Microbiology, Tumor and Cell Biology, Karolinska institute, Stockholm, Sweden.
Department of Microbiology, Tumor and Cell Biology, Karolinska institute, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Barnkirurgi/Christoffersson)
2013 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, no 2, 129-136 p.Article in journal (Refereed) Published
Abstract [en]

Aim Necrotizing enterocolitis (NEC) represents one of the gravest complications in premature infants. The suggested role of intestinal microbiota in the development of NEC needs to be elucidated. Methods This prospective single-centre casecontrol study applied barcoded pyrosequencing to map the bacterial composition of faecal samples from extremely preterm infants. Ten patients were diagnosed with NEC and matched to healthy controls with regard to sex, gestational age and mode of delivery prior to analysis of the samples. Results Enterococcus, Bacillales and Enterobacteriaceae dominated the flora. Although not statistically significant, a high relative abundance of Bacillales and Enterobacteriaceae was detected at early time points in patients developing NEC, while healthy controls had a microbiota more dominated by Enterococcus. A low diversity of intestinal microbial flora was found without any differences between NEC patients and controls. In 16 healthy controls, Firmicutes (Enterococcus and Bacillales) dominated the faecal flora during the first weeks after birth and were then succeeded by Enterobacteriaceae. Conclusion No significant differences in the composition of intestinal microbiota of patients developing NEC were detected; however, some findings need to be scrutinized in subsequent studies.

Place, publisher, year, edition, pages
2013. Vol. 102, no 2, 129-136 p.
Keyword [en]
454 pyrosequencing, Microbiota, necrotizing enterocolitis, prematurity, very low birth weight
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-194729DOI: 10.1111/apa.12059ISI: 000313593700019OAI: oai:DiVA.org:uu-194729DiVA: diva2:606531
Available from: 2013-02-19 Created: 2013-02-19 Last updated: 2017-12-06Bibliographically approved

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Normann, ErikEngstrand Lilja, Helene

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