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Colonization of the large bowel by Clostridium difficile in healthy infants: quantitative study
Open accessAbstract
Colonization of the large bowel of healthy infants by Clostridium difficile was studied. Feces were collected from five breast-fed aand five formula-fed infants throughout the first year of life, and levels of C. difficile were quantitated. Three breast-fed and five formula-fed infants were colonized for periods of between 8 and 42 weeks, and another infant harbored the organism only during week 1. Colonization of breast-fed infants commenced before or during weaning, with levels reaching 10(3) to 10(5) organisms per g of wet feces. Colonization of formula-fed infants commenced before solid foods were given, with levels of 10(3) to 10(7) organisms per g of wet feces. Isolates from eight of the babies were shown to produce cytotoxin in vitro. Single fecal specimens from 60 more children aged up to 4 years were also examined, and it was found that the carriage rate of C. difficile fell sharply after 1 year of age, although in the second year it was still higher than in adults. These findings are discussed in relation to the microbial ecology of the large bowel and the paradox that levels of C. difficile in the large bowel of healthy infants are similar to those causing pseudomembranous colitis in patients.
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“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 [21]
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Metadata
- Authors
- Stark, P. L., Lee, A., & Parsonage, B. D.
- Venue
- Infection and Immunity
- Publisher
- American Society for Microbiology
- Published
- 1982-03
- Volume
- 35
- Issue
- 3
- Pages
- 895-899
- ISSN
- 0019-9567 (ISSN-L)
- 1098-5522
- PMC
- PMC351131
- OpenAlex
- W2102086074
- Cited by
- 104
- References
- 24
- Citations by year
- 2024: 2 · 2022: 3 · 2020: 3 · 2019: 2 · 2018: 3 · 2016: 2 · 2015: 5 · 2014: 5 · 2013: 3 · 2012: 5
- FWCI
- 10.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Infection and Immunity (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (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 difficile, intestinal colonization, infants, breastfeeding, bottle feeding, weaning, cytotoxin production, carriage rate, pseudomembranous colitis, fecal carriage
- MeSH terms
- Bacterial Toxins, Clostridium, Cytotoxins, Feces, Humans, Infant, Infant, Newborn, Intestine, Large, Prospective Studies, Time Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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