临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (8): 628-.doi: 10.3969/j.issn.1000-3606.2019.08.018

• 文献综述 • 上一篇    下一篇

新生儿抗生素暴露对肠道菌群及临床结局的影响

赵琪综述, 芦起审校   

  1. 重庆医科大学附属儿童医院新生儿诊疗中心 儿童发育疾病研究教育部重点实验室 儿科学重庆市重点实验室 儿童发育重大疾病国家国际科技合作基地(重庆 400014)
  • 发布日期:2019-08-09

The effect of antibiotic exposure on intestinal microbiota and clinical outcomes in neonates

Reviewer: ZHAO Qi, Reviser: LU Qi   

  1. Neonatal Diagnosis and Treatment Center, Children’s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing 400014, China
  • Published:2019-08-09

摘要: 抗生素作为治疗感染的首选药物,在新生儿病房中被普遍应用,新生儿时期抗生素的使用在消灭侵袭性感染 的同时改善了无数患儿的临床预后。但近年来,抗生素对肠道菌群建立的影响逐步被认识,由此导致的众多不良后果给临 床诊疗中抗生素的应用决策带来挑战。文章综述新生儿抗生素暴露对肠道菌群及近、远期结局的影响,为抗生素临床运用 提供新思考。

关键词: 抗生素; 新生儿; 肠道菌群; 临床结局

Abstract:  Antibiotics, as the first choice for treatment of infections, have been widely used in neonatal units. The application of antibiotics during neonatal period eliminated invasive infections, and improved clinical outcomes. Over the past decades, the effects of antibiotics on the establishment of intestinal microbiota have been recognized. The alteration of intestinal microbiota leads to numerous adverse consequences, which brings challenges to clinical decisions on antibiotic use. We reviewed the effects of the exposure of antibiotics on gut microbiota and succeeding outcomes in neonates to provide new considerations for clinical practices.

Key words: antibiotics; newborn; intestinal microbiota; clinical outcome