Evidence map›Paper›PMID 18423017›Full record

ArticleBMC infectious diseases2008

PCR-DGGE assessment of the bacterial diversity of breast milk in women with lactational infectious mastitis.

Susana Delgado, Rebeca Arroyo, Rocío Martín, Juan M Rodríguez

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00716183 (Phase 2/3 Evaluation of Three Lactobacilli Strains Isolated From Human Milk for the Treatment of Infectious Mastitis During the Lactation Period), which is not on this map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00716183 phase2 / phase3completednot on this map

Phase 2/3 Evaluation of Three Lactobacilli Strains Isolated From Human Milk for the Treatment of Infectious Mastitis During the Lactation Period

TypeinterventionalSponsorUniversidad Complutense de MadridRan2008 to 2009Enrolled300ConditionsMastitisArmsLactobacillus salivarius HN6, Lactobacillus reuteri CR20, Lactobacillus fermentum LC40, Beta-lactam antibiotic
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Incidence of and Risk Factors for Lactational Mastitis: A Systematic Review.Journal of human lactation : official journal of International Lactation Consultant Association · 2020
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Nipple candidiasis and painful lactation: an updated overview.Postepy dermatologii i alergologii · 2022
    Review
  12. Review
  13. Review
  14. Article
  15. Nutrients · 2021
    Review
  16. Article
  17. Breast Milk: A Meal Worth Having.Frontiers in nutrition · 2021
    Review
  18. Article
  19. Article
  20. The Microbiota of the Human Mammary Ecosystem.Frontiers in cellular and infection microbiology · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Susana DelgadoDpt. Nutrición, Bromatología y Tecnología de los Alimentos, Universidad Complutense de Madrid, 28040 Madrid, Spain. sdelgado@vet.ucm.es
Rebeca Arroyo
Rocío Martín
Juan M Rodríguez
Universidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfectious mastitis is a common condition during lactation and in fact, represents one of the main causes leading to a precocious weaning. The number of studies dealing with lactational mastitis is low and, up to now, the etiological diagnosis is frequently made on the basis of unspecific clinical signs. The aim of this study was to investigate the microbial diversity of breast milk in 20 women with lactational mastitis employing culture-dependent and culture-independent (PCR-DGGE) approaches.

methodsBreast milk samples were cultured in different media to investigate the presence of bacteria and/or yeasts, and a total of 149 representative isolates were identified to the species level by 16S rRNA gene PCR sequencing. The microorganisms recovered were compared with those found by PCR-DGGE analysis. To identify the DGGE profiles two reference markers of different microbial species were constructed. Sequence analysis of unknown bands was also performed.

resultsStaphylococci were the dominant bacterial group and Staphylococcus epidermidis was the dominant species. In a lower number of samples, other bacteria (mainly streptococci and a few gram-negative species) were also identified. Globally, PCR-DGGE results showed a good correlation with those obtained by culture-based methods. However, although DNA bands corresponding to different lactic acid bacteria were detected, such bacteria could not be isolated from the milk samples.

conclusionStaphylococci seem to be the main etiological agents of human lactational mastitis. The combined use of culture and molecular techniques allowed a better characterization of the bacterial diversity in milk from women suffering from infectious mastitis. Our results suggest that this condition could be the result of a disbiotic process where some of the bacterial species usually present in human milk outgrow (staphylococci) while others disappear (lactobacilli or lactococci).

Indexed as

Polymerase Chain ReactionAdultBreast FeedingColony Count, MicrobialFemaleHumansLactobacillusMastitisMilk, HumanPregnancyPregnancy Complications, InfectiousRNA, BacterialRNA, Ribosomal, 16SSensitivity and SpecificitySpainStaphylococcus epidermidisRNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID18423017
PMCPMC2383900
OpenAlexW2083965072

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.