Evidence map›Paper›PMID 31337807›Full record

ArticleScientific reports2019

Impact of intrapartum and postnatal antibiotics on the gut microbiome and emergence of antimicrobial resistance in infants.

Terhi Tapiainen, Pirjo Koivusaari, Lauren Brinkac, Hernan A Lorenzi, Jarmo Salo, Marjo Renko, Hannele Pruikkonen, Tytti Pokka, Weizhong Li, Karen Nelson and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 8 pooled it
14.8field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 8 syntheses or guidelines pooled it, 176 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

58 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

12 authors at 4 institutions in 2 countries.

Terhi TapiainenDepartment of Pediatrics and Adolescence, Oulu University Hospital, 90029, Oulu, Finland. terhi.tapiainen@oulu.fi.ORCID http://orcid.org/0000-0001-5433-4207
Pirjo KoivusaariEcology and Genetics, Faculty of Science, University of Oulu, Oulu, 90014, Finland.
Lauren BrinkacJ. Craig Venter Institute, Rockville, MD, 28050, USA. lbrinkac@jcvi.org.
Hernan A LorenziJ. Craig Venter Institute, Rockville, MD, 28050, USA.ORCID http://orcid.org/0000-0003-0910-7894
Jarmo SaloDepartment of Pediatrics and Adolescence, Oulu University Hospital, 90029, Oulu, Finland.
Marjo RenkoDepartment of Pediatrics and Adolescence, Oulu University Hospital, 90029, Oulu, Finland.
Hannele PruikkonenPEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, 90014, Finland.
Tytti PokkaDepartment of Pediatrics and Adolescence, Oulu University Hospital, 90029, Oulu, Finland.
Weizhong LiJ. Craig Venter Institute, La Jolla, CA, 92037, USA.ORCID http://orcid.org/0000-0003-1804-9403
Karen NelsonJ. Craig Venter Institute, Rockville, MD, 28050, USA.
Anna Maria PirttiläJ. Craig Venter Institute, Rockville, MD, 28050, USA.
Mysore V TejesviEcology and Genetics, Faculty of Science, University of Oulu, Oulu, 90014, Finland.ORCID http://orcid.org/0000-0002-6176-0981
J. Craig Venter Institute · USOulu University Hospital · FIUniversity of Oulu · FIUniversity of Eastern Finland · FI

Funding

The J. Craig Venter Institute Genome Center for Infectious DiseasesU19AI110819 · NIAID · J. CRAIG VENTER INSTITUTE, INC. · PI TAN, GENE · 2014 to 2018
$29.7M
NIAID NIH HHS U19 AI110819
6 · The paper itself

Abstract

Altogether, 20-30% of women receive intrapartum antibiotic prophylaxis (IAP) to prevent sepsis in infants and 2-5% of newborn infants receive antibiotics due to suspected sepsis. Caesarean section has a long-term impact on the intestinal microbiome but the effects of perinatal antibiotics on gut microbiome in vaginally delivered infants are not well known. We compared the impact of IAP, postnatal antibiotics, or their combination on the gut microbiome and emergence of antimicrobial resistance in a controlled study of 149 newborn infants recruited within 24 hours after birth. We collected 659 fecal samples, including 426 daily samples from infants before discharge from the hospital and 111 follow-up samples at six months. Penicillin was mostly used for IAP and the combination of penicillin and aminoglycoside for postnatal treatment. Postnatal antibiotic groups received Lactobacillus reuteri probiotic. Newborn gut colonization differed in both IAP and postnatal antibiotics groups as compared to that in control group. The effect size of IAP was comparable to that caused by postnatal antibiotics. The observed differences were still present at six months and not prevented by lactobacilli consumption. Given the present clinical results, the impact of perinatal antibiotics on the subsequent health of newborn infants should be further evaluated.

Indexed as

Postnatal CareAdultAminoglycosidesAnti-Bacterial AgentsAntibiotic ProphylaxisDrug Resistance, BacterialDrug Therapy, CombinationFecesFemaleFollow-Up StudiesGastrointestinal MicrobiomeHumansInfantInfant, NewbornMaleNatural ChildbirthAminoglycosidesAnti-Bacterial AgentsPenicillins

Identifiers

PMID31337807
PMCPMC6650395
OpenAlexW2963904718

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.