Bacterial counts of intestinal Lactobacillus species in infants with colic
Abstract
Intestinal colonization by lactobacilli is suggested to be a prerequisite to normal mucosal immune functions. An inadequate level of lactobacilli may be involved in appearance of allergic disease of which, infantile colic, is often considered an early clinical manifestation. The aim of the study is to evaluate intestinal lactobacilli in breast‐fed infants with infantile colic and healthy infants. Fifty‐six breast‐fed infants, aged 15–60 days were enrolled in the study and divided into two groups: colicky (30 cases) and healthy (26 cases) according to Wessel's criteria. Stool samples were collected, diluted and cultured on selective media. The colonies were counted, reported as colony forming unit (cfu) per gram of faeces and identified by biochemical methods. Different colonization patterns of lactobacilli were found among colicky and healthy infants. Lactobacillus brevis (4.34 × 10 8 cfu/g) and L. lactis lactis (2.51 × 10 7 cfu/g) were found only in colicky infants while L. acidophilus (2.41 × 10 7 cfu/g) was found only in healthy infants. Lactobacillus brevis and L. lactis lactis might be involved in the pathogenesis of infantile colic increasing meteorism and abdominal distension. Further studies are required to understand how the observed differences may be involved in the pathogenesis of this common disorder.
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Early culture-based studies found that colicky infants more often carried anaerobic gram-negative proinflammatory bacteria and less often lactobacilli than infants without colic.
“Early culture-dependent studies by Savino et al. revealed that colicky infants were more frequently colonized by anaerobic gram-negative proinflammatory bacteria and less frequently colonized by lactobacilli when compared to non-colicky infants175, 176.”
From The gut Microbiome in adult and pediatric functional gastrointestinal disorders (2019) · cites this paper as [176]
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- Authors
- Savino, F., Bailo, E., Oggero, R., Tullio, V., Roana, J., Carlone, N., Cuffini, A. M., & Silvestro, L.
- Affiliations
- University of Turin (IT)
- Corresponding author
- Savino, F.
- Venue
- Pediatric Allergy and Immunology
- Publisher
- Wiley
- Published
- 2005-02
- Volume
- 16
- Issue
- 1
- Pages
- 72-75
- ISSN
- 0905-6157 (ISSN-L)
- 1399-3038
- OpenAlex
- W2150021025
- Cited by
- 94
- References
- 16
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 1 · 2018: 8 · 2017: 7 · 2016: 8 · 2015: 3 · 2014: 6 · 2013: 10 · 2012: 10
- FWCI
- 9.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Allergy and Immunology (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- infantile colic, Lactobacillus, intestinal colonization, breast-fed infants, Lactobacillus brevis, Lactobacillus acidophilus, coliform count, meteorism, abdominal distension
- MeSH terms
- Breast Feeding, Colic, Feces, Female, Humans, Infant, Infant, Newborn, Intestines, Lactobacillus, Male, Reference Values, Colony Count, Microbial
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