Evidence map›Paper›PMID 34845351›Full record

ArticlePediatric research2022

Nasogastric enteral feeding tubes modulate preterm colonization in early life.

J Jara Pérez, B Moreno-Sanz, I Castro Navarro, C Alba Rubio, B Chinea Jiménez, E Escribano Palomino, L Fernández Álvarez, J M Rodríguez, B Orgaz Martín, M Sáenz de Pipaón

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Article in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. The gut-lung axis in early life: microbiome-associated mechanisms and clinical relevance.European respiratory review : an official journal of the European Respiratory Society · 2026
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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

10 authors at 4 institutions in 1 country.

J Jara Pérez *Department of Nutrition and Food Science, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
B Moreno-Sanz *Department of Neonatology, La Paz University Hospital of Madrid, Madrid, Spain.
I Castro NavarroDepartment of Nutrition and Food Science, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
C Alba RubioDepartment of Nutrition and Food Science, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
B Chinea JiménezDepartment of Neonatology, La Paz University Hospital of Madrid, Madrid, Spain.
E Escribano PalominoDepartment of Neonatology, La Paz University Hospital of Madrid, Madrid, Spain.
L Fernández ÁlvarezDepartment of Galenic Pharmacy and Food Technology, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
J M RodríguezDepartment of Nutrition and Food Science, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
B Orgaz MartínDepartment of Galenic Pharmacy and Food Technology, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain. belen@ucm.es.
M Sáenz de PipaónDepartment of Neonatology, La Paz University Hospital of Madrid, Madrid, Spain.
Universidad Complutense de Madrid · ESHospital Universitario La Paz · ESHospital La Paz Institute for Health Research · ESUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm infants are generally fed through nasogastric enteral feeding tubes (NEFTs). The aim of this work was to evaluate the role of NEFTs in the initial colonization of the preterm gut and its evolution within the first 2 weeks after birth.

methodsFor this purpose, fecal and NEFT-derived samples from 30 preterm infants hospitalized in a neonatal intensive care unit (NICU) were collected from birth to the second week of life. Samples were cultivated in ten culture media, including three for the isolation of antibiotic-resistant microorganisms.

resultsIsolates (561) were identified by 16S ribosomal RNA gene sequencing. Although the first NEFTs inserted into the neonates after birth were rarely colonized, analysis of NEFTs and fecal samples over time revealed a significant increase in bacterial abundance, diversity, and detection frequency. Results showed a parallel colonization between time-matched NEFTs and fecal samples, suggesting an ongoing bidirectional transfer of bacteria from the neonatal gut to the NEFTs and vice versa.

conclusionsIn short-term hospitalization, length is by far the determinant factor for the early colonization of preterm infants. As NEFT populations reflect the bacterial populations that are colonizing the preterm in a precise moment, their knowledge could be useful to prevent the dissemination of antibiotic-resistant strains. IMPACT: The hospital environment modulates preterm colonization immediately after birth. The colonization of preterm feces and NEFTs occurs in parallel. There is an ongoing bidirectional transfer of microorganisms from the neonatal gut to the NEFTs and vice versa. Bacterial communities inside NEFTs could act as reservoirs of antibiotic resistance genes. NEFT populations reflect the bacteria that are colonizing the preterm at a precise moment.

Indexed as

Enteral NutritionInfant, PrematureAnti-Bacterial AgentsBacteriaCulture MediaFecesHumansInfantInfant, NewbornIntensive Care Units, NeonatalIntubation, GastrointestinalAnti-Bacterial AgentsCulture Media

Identifiers

PMID34845351
OpenAlexW3217481737

What OpenQuestion holds

Textmetadata
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.