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Perinatal Antibiotic Exposure Alters Neonatal Gut Microbiota in Preterm Infants: Clinical Implications for Infection Risk and Microbial Maturation

MedXY Editorial TeamAug 4, 2025
dysbiosisperinatal antibioticspreterm infants

Highlights

  • Perinatal antibiotic exposure (maternal and/or neonatal) is associated with significant shifts in the gut microbiota of preterm infants, favoring pathogenic bacteria over beneficial species.
  • Combined maternal and neonatal antibiotic exposure leads to greater dysbiosis and higher gut-blood microbial correlations, suggesting increased risk for bloodstream infections.
  • Exclusive breastfeeding supports the recovery and maintenance of beneficial gut flora, particularly Bifidobacterium spp., even after antibiotic exposure.
  • The presence of causative pathogens in the gut preceding bloodstream infection highlights the gut as a reservoir and potential source for neonatal sepsis.

Study Background and Disease Burden

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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