Evidence map›Paper›PMID 29184093›Full record

ArticleScientific reports2017

Intrapartum antibiotics for GBS prophylaxis alter colonization patterns in the early infant gut microbiome of low risk infants.

Jennifer C Stearns, Julia Simioni, Elizabeth Gunn, Helen McDonald, Alison C Holloway, Lehana Thabane, Andrea Mousseau, Jonathan D Schertzer, Elyanne M Ratcliffe, Laura Rossi and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
8.9field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 4 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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  16. Comparison of cytokine responses to group BInfection and immunity · 2025
    Article
  17. Article
  18. Article
  19. A murine model of adult gastrointestinal colonization by Group BbioRxiv : the preprint server for biology · 2025
    Article
  20. Article

20 more citing papers are in PubMed but not listed here.

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

13 authors at 3 institutions in 2 countries.

Jennifer C StearnsDepartment of Medicine, McMaster University, Hamilton, Canada. stearns@mcmaster.ca.ORCID 0000-0002-8603-6607
Julia SimioniMidwifery Education Program, McMaster University, Hamilton, Canada.
Elizabeth GunnDepartment of Pediatrics, McMaster University, Hamilton, Canada.
Helen McDonaldMidwifery Education Program, McMaster University, Hamilton, Canada.
Alison C HollowayDepartment of Obstetrics & Gynecology, McMaster University, Hamilton, Canada.
Lehana ThabaneDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Canada.
Andrea MousseauDepartment of Obstetrics & Gynecology, McMaster University, Hamilton, Canada.
Jonathan D SchertzerFarncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Canada.
Elyanne M RatcliffeDepartment of Pediatrics, McMaster University, Hamilton, Canada.
Laura RossiDepartment of Medicine, McMaster University, Hamilton, Canada.
Michael G SuretteDepartment of Medicine, McMaster University, Hamilton, Canada.
Katherine M MorrisonDepartment of Pediatrics, McMaster University, Hamilton, Canada.
Eileen K HuttonDepartment of Obstetrics & Gynecology, McMaster University, Hamilton, Canada.
McMaster University · CAPopulation Health Research Institute · CADigestive Health Research Institute · FR

Funding

CIHR MSH-136665
6 · The paper itself

Abstract

Early life microbial colonization and succession is critically important to healthy development with impacts on metabolic and immunologic processes throughout life. A longitudinal prospective cohort was recruited from midwifery practices to include infants born at full term gestation to women with uncomplicated pregnancies. Here we compare bacterial community succession in infants born vaginally, with no exposure to antibiotics (n = 53), with infants who were exposed to intrapartum antibiotic prophylaxis (IAP) for Group B Streptococcus (GBS; n = 14), and infants born by C-section (n = 7). Molecular profiles  of the 16 S rRNA genes indicate that there is a delay in the expansion of Bifidobacterium, which was the dominate infant gut colonizer, over the first 12 weeks and a persistence of Escherichia when IAP for GBS exposure is present during vaginal labour. Longer duration of IAP exposure increased the magnitude of the effect on Bifidobacterium populations, suggesting a longer delay in microbial community maturation. As with prior studies, we found altered gut colonisation following C-section that included a notable lack of Bacteroidetes. This study found that exposure of infants to IAP for GBS during vaginal birth affected aspects of gut microbial ecology that, although dramatic at early time points, disappeared by 12 weeks of age in most infants.

Indexed as

Antibiotic ProphylaxisMaternal ExposureAdultAnti-Bacterial AgentsBifidobacteriumDelivery, ObstetricFemaleGastrointestinal MicrobiomeHumansInfantInfant, NewbornMaleMetagenomeMetagenomicsPregnancyStreptococcal InfectionsAnti-Bacterial Agents

Identifiers

PMID29184093
PMCPMC5705725
OpenAlexW2769311960

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.