Clostridia isolated from the feces of infants during the first year of life
Abstract
Clostridia isolated from the feces of ten healthy infants during the first year of life were identified. All infants excreted clostridia during the first week of life; the most common species were Clostridium butyricum, C. paraputrificum, and C. difficile. In the formula-fed infants colonization occurred consistently throughout the year, whereas in some breast-fed infants it was inhibited until weaning. The species isolated most frequently throughout the year were C. paraputrificum, C. butyricum, C. ramosum, C. sartagoformum, and C. perfringens. Of the species often found in infants, C. butyricum, C. difficile, and C. sartagoformum occur rarely in adults, reflecting differences in the environmental conditions in the gut of the two age groups. The mechanism by which environmental conditions select species of clostridia is unknown but may be important to our understanding of a variety of clostridial intestinal infections. It was demonstrated that species of clostridia which have been implicated in the etiology of neonatal necrotizing enterocolitis form part of the normal infant gastrointestinal microflora.
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Multiple studies show decreased Clostridia colonization in breast-fed infants, including colonization with Clostridium difficile.
“multiple studies have shown a decrease in Clostridia colonization of breast-fed infants19, 20 including colonization with Clostridium difficile 21.”
From Diet and the Intestinal Microbiome: Associations, Functions, and Implications for Health and Disease (2014) · cites this paper as [19]
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Usuanlele, M.-T., Kabali, C., Mbuagbaw, L., Loeb, M. B., & Mertz, D. (2026) · Global Epidemiology · doi:10.1016/j.gloepi.2026.100281
Environmental Contamination of Pediatric Offices by Clostridioides difficile
Magence, A., Magence, T., Cadnum, J. L., Hailes, J. M., Donskey, C. J., & Toltzis, P. (2026) · Journal of the Pediatric Infectious Diseases Society · doi:10.1093/jpids/piag093
- Authors
- Stark, P. L., & Lee, A.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Stark, P.L.
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 1982-03
- Volume
- 100
- Issue
- 3
- Pages
- 362-365
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2053714425
- Cited by
- 80
- References
- 26
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2022: 1 · 2021: 4 · 2020: 2 · 2018: 3 · 2017: 5 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- Clostridium, infant gut microbiota, fecal colonization, Clostridium butyricum, Clostridium paraputrificum, Clostridium difficile, Clostridium perfringens, Clostridium ramosum, breastfeeding, bottle feeding, weaning, neonatal necrotizing enterocolitis
- MeSH terms
- Breast Feeding, Clostridium, Feces, Humans, Infant, Infant Food, Infant, Newborn, Prospective Studies
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