Morreale Chiara, Giaroni Cristina, Baj Andreina, Folgori Laura, Barcellini Lucia, Dhami Amraj, Agosti Massimo, Bresesti Ilia
Department of Medicine and Surgery, University of Insubria, Via JH Dunant 5, 21100 Varese, Italy.
Department of Paediatrics, Children's Hospital V. Buzzi, University of Milan, 20133 Milan, Italy.
Antibiotics (Basel). 2023 Jan 28;12(2):258. doi: 10.3390/antibiotics12020258.
Antibiotic therapy is one of the most important strategies to treat bacterial infections. The overuse of antibiotics, especially in the perinatal period, is associated with long-lasting negative consequences such as the spread of antibiotic resistance and alterations in the composition and function of the gut microbiota, both of which negatively affect human health. In this review, we summarize recent evidence about the influence of antibiotic treatment on the neonatal gut microbiota and the subsequent negative effects on the health of the infant. We also analyze the possible microbiome-based approaches for the re-establishment of healthy microbiota in neonates.
抗生素治疗是治疗细菌感染最重要的策略之一。抗生素的过度使用,尤其是在围产期,会带来长期的负面后果,如抗生素耐药性的传播以及肠道微生物群的组成和功能改变,这两者都会对人类健康产生负面影响。在本综述中,我们总结了关于抗生素治疗对新生儿肠道微生物群的影响以及随后对婴儿健康产生的负面影响的最新证据。我们还分析了基于微生物群的新生儿健康微生物群重建的可能方法。