Evidence map›Paper›PMID 34264786›Full record

ArticleGut microbes

Antibiotic-driven intestinal dysbiosis in pediatric short bowel syndrome is associated with persistently altered microbiome functions and gut-derived bloodstream infections.

Robert Thänert, Anna Thänert, Jocelyn Ou, Adam Bajinting, Carey-Ann D Burnham, Holly J Engelstad, Maria E Tecos, I Malick Ndao, Carla Hall-Moore, Colleen Rouggly-Nickless and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05967871 (Pilot Feasibility Study of Fecal Microbiota Transplant for the Treatment of Small Intestinal Bacterial Overgrowth), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 15% 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.

NCT05967871 phase1recruitingnot on this map

Pilot Feasibility Study of Fecal Microbiota Transplant for the Treatment of Small Intestinal Bacterial Overgrowth

TypeinterventionalSponsorMcMaster Children's HospitalRan2024 to 2026Enrolled20ConditionsSmall Intestinal Bacterial OvergrowthArmsFecal Microbiota Transplant
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Review
  8. ESBL-producingEpidemiology and infection · 2025
    Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Antibiotic perturbations to the gut microbiome.Nature reviews. Microbiology · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

17 authors at 1 institution in 1 country.

Robert ThänertThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-6400-3433
Anna ThänertThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-2000-7659
Jocelyn OuDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Adam BajintingDivision of Pediatric Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Carey-Ann D BurnhamDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA.
Holly J EngelstadDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Maria E TecosDivision of Pediatric Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
I Malick NdaoDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Carla Hall-MooreDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Colleen Rouggly-NicklessDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Mike A CarlDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Deborah C RubinDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Nicholas O DavidsonDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Phillip I TarrDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-4078-7517
Barbara B WarnerDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-9910-4461
Gautam DantasThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-0455-8370
Brad W WarnerDivision of Pediatric Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Washington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
The Neonatal Microbiome and Necrotizing EnterocolitisUH3AI083265 · NIAID · WASHINGTON UNIVERSITY · PI TARR, PHILLIP I · 2010 to 2012
$7.6M
Impact of early-life perturbations on pediatric microbiome maturationR01AI155893 · NIAID · WASHINGTON UNIVERSITY · PI Gautam Dantas · 2021 to 2026
$4.6M
PHYLOGENOMIC, TRANSCRIPTOMIC, VIROMIC, AND IMMUNOPROTEOMIC DETERMINANTS OF NECROTIZING ENTEROCOLITISR01HD092414 · NICHD · WASHINGTON UNIVERSITY · PI DANTAS, GAUTAM, TARR, PHILLIP I · 2017 to 2021
$3.0M
STRUCTURAL, MECHANISTIC, & EVOLUTIONARY CHARACTERIZATION OF TETRACYCLINE DESTRUCTASESR01AI123394 · NIAID · WASHINGTON UNIVERSITY · PI DANTAS, GAUTAM, WENCEWICZ, TIMOTHY ADAM · 2016 to 2019
$2.7M
GUT SPECIFIC AND TIME-LIMITED EVENTS IN EARLY LIFE PROMOTING TOLERANCEU01AI131342 · NIAID · WASHINGTON UNIVERSITY · PI NEWBERRY, RODNEY D, TARR, PHILLIP I · 2017 to 2021
$2.2M
Bile acid metabolomics and metagenomics in short bowel syndromeR01DK112378 · NIDDK · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O., RUBIN, DEBORAH C. · 2016 to 2018
$1.1M
NCATS NIH HHS UL1 TR002345NIAID NIH HHS R01 AI123394NIAID NIH HHS R01 AI155893NIAID NIH HHS U01 AI131342NIAID NIH HHS UH3 AI083265NICHD NIH HHS R01 HD092414NIDDK NIH HHS P30 DK052574NIDDK NIH HHS R01 DK112378
6 · The paper itself

Abstract

Surgical removal of the intestine, lifesaving in catastrophic gastrointestinal disorders of infancy, can result in a form of intestinal failure known as short bowel syndrome (SBS). Bloodstream infections (BSIs) are a major challenge in pediatric SBS management. BSIs require frequent antibiotic therapy, with ill-defined consequences for the gut microbiome and childhood health. Here, we combine serial stool collection, shotgun metagenomic sequencing, multivariate statistics and genome-resolved strain-tracking in a cohort of 19 patients with surgically-induced SBS to show that antibiotic-driven intestinal dysbiosis in SBS enriches for persistent intestinal colonization with BSI causative pathogens in SBS. Comparing the gut microbiome composition of SBS patients over the first 4 years of life to 19 age-matched term and 18 preterm controls, we find that SBS gut microbiota diversity and composition was persistently altered compared to controls. Commensals including

Indexed as

AdolescentAnti-Bacterial AgentsChildChild, PreschoolCohort StudiesDysbiosisFemaleGastrointestinal MicrobiomeHumansMaleMissouriSepsisShort Bowel SyndromeAnti-Bacterial Agentsantibioticsbloodstream infectionsfunctional profilingintestinal dysbiosismicrobiotaShort bowel syndromeshotgun metagenomicsstrain-tracking

Identifiers

PMID34264786
PMCPMC8284144
OpenAlexW3177905019

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.