Early Gut Colonization of Preterm Infants: Effect of Enteral Feeding Tubes.

Objective: The aim of the study was to evaluate the potential colonization of nosocomial bacteria in enteral feeding systems and its effect on early gut colonization of preterm neonates.Methods: Mother's own milk, donor milk, and preterm formula samples obtained after passing through the external pa...

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Published in:Journal of Pediatric Gastroenterology & Nutrition Vol. 62; no. 6; pp. 893 - 901
Main Authors: Gómez, Marta, Moles, Laura, Melgar, Ana, Ureta, Noelia, Bustos, Gerardo, Fernández, Leónides, Rodríguez, Juan M., Jiménez, Esther
Format: pictorial research tables/charts Journal Article
Published: Wiley-Blackwell Jun2016
Online Access:View this record in EBSCOhost
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      dt: Jun2016
      vid: 62
      iid: 6
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        115592279
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        10.1097/MPG.0000000000001104
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        atl: Early Gut Colonization of Preterm Infants: Effect of Enteral Feeding Tubes.
      aug:
        au:
          Gómez, Marta
          Moles, Laura
          Melgar, Ana
          Ureta, Noelia
          Bustos, Gerardo
          Fernández, Leónides
          Rodríguez, Juan M.
          Jiménez, Esther
        affil: Departamento Nutrición, Bromatología y Tecnología de los Alimentos, Universidad Complutense de Madrid, Madrid, Spain
      sug:
        subj:
          Cross Infection Diagnosis
          Intestines Microbiology
          Enteral Nutrition Adverse Effects
          Infant, Newborn
          Infant, Premature
          Male
          Feces Microbiology
          Female
          Meconium Microbiology
          Infant
          Human
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Male
          Female
      ab: Objective: The aim of the study was to evaluate the potential colonization of nosocomial bacteria in enteral feeding systems and its effect on early gut colonization of preterm neonates.Methods: Mother's own milk, donor milk, and preterm formula samples obtained after passing through the external part of the enteral feeding tubes were cultured. In addition, meconium and fecal samples from 26 preterm infants collected at different time points until discharge were cultured. Random amplification polymorphism DNA and pulse field gel electrophoresis were performed to confirm the presence of specific bacterial strains in milk and infant fecal samples.Results: Approximately 4000 bacterial isolates were identified at the species level. The dominant species in both feces from preterm infants and milk samples were Staphylococcus epidermidis, S aureus, Enterococcus faecalis, E faecium, Serratia marcescens, Klebsiella pneumoniae, and Escherichia coli. All of them were present at high concentrations independently of the feeding mode. Random amplification polymorphism DNA and pulse field gel electrophoresis techniques showed that several bacteria strains were found in both type of samples. Furthermore, scanning electron microscopy revealed the presence of a dense bacterial biofilm in several parts of the feeding tubes and the tube connectors.Conclusions: There is a sharing of bacterial strains between the neonates' gastrointestinal microbiota and the feeding tubes used to feed them.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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