Volume 19 Issue 6
Jun.  2021
Turn off MathJax
Article Contents
ZHONG Sheng-fen, ZHOU Wen-can, NI Miao-jun, ZHU Yu-qing, WEN Chao, JIN Ji, YANG Yu. Comparison of the effect of different antibiotic treatment regimens on intestinal microecology and peripheral blood T lymphocyte subsets in infants[J]. Chinese Journal of General Practice, 2021, 19(6): 972-974. doi: 10.16766/j.cnki.issn.1674-4152.001963
Citation: ZHONG Sheng-fen, ZHOU Wen-can, NI Miao-jun, ZHU Yu-qing, WEN Chao, JIN Ji, YANG Yu. Comparison of the effect of different antibiotic treatment regimens on intestinal microecology and peripheral blood T lymphocyte subsets in infants[J]. Chinese Journal of General Practice, 2021, 19(6): 972-974. doi: 10.16766/j.cnki.issn.1674-4152.001963

Comparison of the effect of different antibiotic treatment regimens on intestinal microecology and peripheral blood T lymphocyte subsets in infants

doi: 10.16766/j.cnki.issn.1674-4152.001963
Funds:

 2019KY555

  • Received Date: 2020-04-15
    Available Online: 2022-02-16
  •   Objective  To investigate the effect of different antibiotic treatment regimens on intestinal microecology and peripheral blood T lymphocyte subsets in infants.   Methods  A total of 72 infants treated with antibiotics in the Maternal and Child Health Hospital of Fuyang District, Hangzhou from January 2019 to December 2019 were selected as the observation group. Meanwhile, 24 healthy infants not administered with antibiotics were selected as the control group. The intestinal microecology and peripheral blood T lymphocyte subsets in both groups were compared. Additionally, the effect of different antibiotic treatment regimens on the above indices in the observation group was compared.   Results  Differences in intestinal microecology and peripheral blood T lymphocyte subsets between the observation and control groups were significant (all P < 0.05). In the observation group, levels of lactobacilli and bifidobacteria were lower in infants treated with β-lactams combined with non-β-lactams antibiotics than those treated with β-lactams or non-β-lactams alone (all P < 0.05). The proportion of normal intestinal microflora in infants treated with β-lactams combined with non-β-lactams antibiotics (8.33%) was significantly lower than that in those treated with β-lactams (58.33%) or non-β-lactams (45.83%) alone (all P < 0.05). Besides, CD8+, CD3+ and CD4+ were lower than in those treated with β-lactams or non-β-lactams alone (all P < 0.05).   Conclusion  Treatment with β-lactams combined with non-β-lactams antibiotics greatly influences intestinal microecology and peripheral blood T lymphocyte subsets in infants.

     

  • loading
  • [1]
    卢乐声, 徐智芳, 白星, 等. 轻度胃肠炎伴良性婴幼儿惊厥肠道微生物改变的研究[J]. 中华全科医学, 2018, 16(5): 802-804. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201805036.htm
    [2]
    刘欣欣, 冯爱平. 免疫相关性皮肤病与胃肠道微生态[J]. 中华皮肤科杂志, 2016, 49(1): 1-5. doi: 10.3760/cma.j.issn.0412-4030.2016.01.001
    [3]
    丁溢芳, 肖玲莉, 郭佳林, 等. 新生儿出生后三天内肠道微生态中菌群分布[J]. 中华围产医学杂志, 2017, 20(7): 507-514. doi: 10.3760/cma.j.issn.1007-9408.2017.07.006
    [4]
    邹昌文, 胥亚福. 阿莫西林克拉维酸钾、头孢噻肟单用与联用治疗新生儿肺炎的疗效及对肠道微生态的影响[J]. 中国基层医药, 2017, 24(21): 3270-3273. doi: 10.3760/cma.j.issn.1008-6706.2017.21.018
    [5]
    赵军英, 姜铁民, 陈历俊, 等. 新生儿肠道微生态与孕期营养调节相关性的研究进展[J]. 中华围产医学杂志, 2017, 20(7): 542-545. doi: 10.3760/cma.j.issn.1007-9408.2017.07.013
    [6]
    纪明宇, 汪运山, 杨炜华. 早期使用抗生素对小儿肠道微生态及生长发育的影响[J]. 中国微生态学杂志, 2017, 29(6): 731-734. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWS201706030.htm
    [7]
    BRON P A, KLEEREBEZEM M, BRUMMER R J, et al. Can probiotics modulate human disease by impacting intestinal barrier function?[J]. Br J Nutr, 2017, 117(1): 93-107. doi: 10.1017/S0007114516004037
    [8]
    YANG I, CORWIN E J, BRENNAN P A, et al. The infant microbiome: implications for infant health and neurocognitive development[J]. Nurs Res, 2016, 65(1): 76-88. doi: 10.1097/NNR.0000000000000133
    [9]
    邢晓枫. 小儿肠道外感染性疾病应用抗生素对肠道菌群的影响[J]. 中国现代药物应用, 2018, 12(15): 144-145. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY201815083.htm
    [10]
    邓小云, 王海涛. 小儿肠道外感染性疾病应用抗生素后肠道菌群失调的相关研究[J]. 中外医疗, 2018, 37(31): 91-92, 95. https://www.cnki.com.cn/Article/CJFDTOTAL-HZZZ201831033.htm
    [11]
    MADAN J C. Neonatal gastrointestinal and respiratory microbiome in cystic fibrosis: potential interactions and implications for systemic health[J]. Clin Ther, 2016, 38(4): 740-746. doi: 10.1016/j.clinthera.2016.02.008
    [12]
    SORDILLO J E, ZHOU Y, MCGEACHIE M J, et al. Factors influencing the infant gut microbiome at age 3-6 months: findings from the ethnically diverse Vitamin D Antenatal Asthma Reduction Trial (VDAART)[J]. J Allergy Clin Immunol, 2017, 139(2): 482-491. doi: 10.1016/j.jaci.2016.08.045
    [13]
    VINDIGNI S M, ZISMAN T L, SUSKIND D L, et al. The intestinal microbiome, barrier function, and immune system in inflammatory bowel disease: a tripartite pathophysiological circuit with implications for new therapeutic directions[J]. Therap Adv Gastroenterol, 2016, 9(4): 606-625. doi: 10.1177/1756283X16644242
    [14]
    黄清梅, 陆斯良, 陈玉君, 等. β-内酰胺类抗生素及益生菌干预对晚期早产儿肠道菌群的影响[J]. 广西医科大学学报, 2018, 35(5): 664-667. https://www.cnki.com.cn/Article/CJFDTOTAL-GXYD201805020.htm
    [15]
    孙玄, 专晨昱, 肖均萍, 等. 生后抗生素暴露对早产儿肠道微生态的影响[J]. 中华围产医学杂志, 2018, 21(7): 458-464. doi: 10.3760/cma.j.issn.1007-9408.2018.07.005
    [16]
    王弘. 不同抗生素治疗方案对新生儿肺炎患者肠道菌落环境的影响观察[J]. 数理医药学杂志, 2018, 31(12): 1829-1831. doi: 10.3969/j.issn.1004-4337.2018.12.044
    [17]
    DESSELBERGER U. The mammalian intestinal microbiome: composition, interaction with the immune system, significance for vaccine efficacy, and potential for disease therapy[J]. Pathogens, 2018, 7(3): 57. doi: 10.3390/pathogens7030057
    [18]
    陈红兵, 谭毅. 抗生素对肠道细菌变迁影响的研究进展[J]. 中国临床新医学, 2017, 10(12): 1231-1234. doi: 10.3969/j.issn.1674-3806.2017.12.32
    [19]
    何国斌, 孙超, 李文浩, 等. 抗生素使用对冬春季婴幼儿肠道菌群内部相关性的影响[J]. 中国妇幼健康研究, 2017, 28(7): 753-757. doi: 10.3969/j.issn.1673-5293.2017.07.002
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(4)

    Article Metrics

    Article views (263) PDF downloads(3) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return