Evidence map›Paper›PMID 33824448›Full record

ArticlePediatric research2022

Antibiotics at birth and later antibiotic courses: effects on gut microbiota.

Sofia Ainonen, Mysore V Tejesvi, Md Rayhan Mahmud, Niko Paalanne, Tytti Pokka, Weizhong Li, Karen E Nelson, Jarmo Salo, Marjo Renko, Petri Vänni and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06282952 (Section-Born Infants and SUccessful Health Outcomes After Fecal Microbiota Transplantation), which is not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06282952 narecruitingnot on this mapstarted 2026, after this paper: background citation

Section-Born Infants and SUccessful Health Outcomes After Fecal Microbiota Transplantation (SISU-FMT)

TypeinterventionalSponsorOulu University HospitalRan2026 to 2036Enrolled460ConditionsFecal Microbiota Transplantation, Cesarean Section, Overweight and ObesityArmsDonor-derived fecal microbiota transplantation
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  18. Persistent reduction ofFrontiers in immunology · 2025
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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.

Sofia AinonenPEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland. sofia.ainonen@student.oulu.fi.
Mysore V TejesviEcology and Genetics, Faculty of Science, University of Oulu, Oulu, Finland.
Md Rayhan MahmudEcology and Genetics, Faculty of Science, University of Oulu, Oulu, Finland.
Niko PaalannePEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Tytti PokkaPEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Weizhong LiJ. Craig Venter Institute, La Jolla, CA, USA.
Karen E NelsonJ. Craig Venter Institute, La Jolla, CA, USA.
Jarmo SaloPEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Marjo RenkoPEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Petri VänniPEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Anna Maria PirttiläEcology and Genetics, Faculty of Science, University of Oulu, Oulu, Finland.
Terhi TapiainenPEDEGO Research Unit and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntrapartum antibiotic prophylaxis (IAP) is widely used, but the evidence of the long-term effects on the gut microbiota and subsequent health of children is limited. Here, we compared the impacts of perinatal antibiotic exposure and later courses of antibiotic courses on gut microbiota.

methodsThis was a prospective, controlled cohort study among 100 vaginally delivered infants with different perinatal antibiotic exposures: control (27), IAP (27), postnatal antibiotics (24), and IAP and postnatal antibiotics (22). At 1 year of age, we performed next-generation sequencing of the bacterial 16S ribosomal RNA gene of fecal samples.

resultsExposure to the perinatal antibiotics had a clear impact on the gut microbiota. The abundance of the Bacteroidetes phylum was significantly higher in the control group, whereas the relative abundance of Escherichia coli was significantly lower in the control group. The impact of the perinatal antibiotics on the gut microbiota composition was greater than exposure to later courses of antibiotics (28% of participants).

conclusionsPerinatal antibiotic exposure had a marked impact on the gut microbiota at the age of 1 year. The timing of the antibiotic exposure appears to be the critical factor for the changes observed in the gut microbiota. IMPACT: Infants are commonly exposed to IAP and postnatal antibiotics, and later to courses of antibiotics during the first year of life. Perinatal antibiotics have been associated with an altered gut microbiota during the first months of life, whereas the evidence regarding the long-term impact is more limited. Perinatal antibiotic exposure had a marked impact on the infant's gut microbiota at 1 year of age. Impact of the perinatal antibiotics on the gut microbiota composition was greater than that of the later courses of antibiotics at the age of 1 year.

Indexed as

Anti-Bacterial AgentsChildFemaleGastrointestinal MicrobiomeHumansInfantInfant, NewbornMalePregnancyProspective StudiesAnti-Bacterial Agents

Identifiers

PMID33824448
PMCPMC8770115

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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.