Evidence map›Paper›PMID 39580540›Full record

ArticleCommunications medicine2024

Early nasal microbiota and subsequent respiratory tract infections in infants with cystic fibrosis.

Ruth Steinberg, Nadja Mostacci, Elisabeth Kieninger, Bettina Frauchiger, Carmen Casaulta, Jakob Usemann, Alexander Moeller, Daniel Trachsel, Isabelle Rochat, Sylvain Blanchon and 10 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

20 authors.

Ruth SteinbergDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-4108-6085
Nadja MostacciInstitute for Infectious Diseases, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-4534-2608
Elisabeth KieningerDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Bettina FrauchigerDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Carmen CasaultaDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Jakob UsemannPaediatric Intensive Care and Pulmonology, University Children's Hospital Basel (UKBB), Basel, Switzerland.ORCID http://orcid.org/0000-0002-9987-2866
Alexander MoellerDepartment of Respiratory Medicine and Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-7284-4251
Daniel TrachselPaediatric Intensive Care and Pulmonology, University Children's Hospital Basel (UKBB), Basel, Switzerland.
Isabelle RochatPediatric Pulmonology and Cystic Fibrosis Unit, Division of Pediatrics, Department of Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Sylvain BlanchonPediatric Pulmonology and Cystic Fibrosis Unit, Division of Pediatrics, Department of Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-0284-9705
Dominik Mueller-SuterDivision of Pediatric Pneumology, Kantonsspital Aarau, Aarau, Switzerland.
Barbara KernDivision of Pediatric Pneumology, Kantonsspital Aarau, Aarau, Switzerland.
Maura ZanolariDivision of Pediatrics, Hospital Bellinzona, Bellinzona, Switzerland.
Urs FreyPaediatric Intensive Care and Pulmonology, University Children's Hospital Basel (UKBB), Basel, Switzerland.ORCID http://orcid.org/0000-0003-3773-2822
Kathryn A RamseyDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Markus HiltyInstitute for Infectious Diseases, University of Bern, Bern, Switzerland.
Philipp LatzinDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-5239-1571
Insa KortenDivision of Paediatric Respiratory Medicine and Allergology, Departement of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. insa.korten@insel.ch.ORCID http://orcid.org/0000-0002-6184-5280
SCILD study group
BILD study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory tract infections (RTIs) drive lung function decline in children with cystic fibrosis (CF). While the respiratory microbiota is clearly associated with RTI pathogenesis in infants without CF, data on infants with CF is scarce. We compared nasal microbiota development between infants with CF and controls and assessed associations between early-life nasal microbiota, RTIs, and antibiotic treatment in infants with CF.

methodsWe included 50 infants with CF and 30 controls from two prospective birth cohorts followed throughout the first year of life. We collected 1511 biweekly nasal swabs and analyzed the microbiota after amplifying the V3-V4 region of the 16S rRNA gene. We conducted structured weekly interviews to assess respiratory symptoms and antibiotic treatment. We calculated generalized additive mixed models and permutational analysis of variance.

resultsHere, we show that the nasal microbiota is already altered before the first RTI or antibiotic treatment in infants with CF. Microbiota diversity differs between infants with CF and controls following RTIs and/or antibiotic treatment. CF infants with lower α-diversity have a higher number of subsequent RTIs.

conclusionsEarly nasal microbiota alterations may reflect predisposition or predispose to RTIs in infants with CF, and further change after RTIs and antibiotic treatment. This highlights the potential of targeting the nasal microbiota in CF-related RTI management, while also questioning current practices in the era of novel modulator therapies.

Identifiers

PMID39580540
PMCPMC11585651

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Registered trials

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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.