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The DOI matches its Crossref record; 123 of the 123 references it cites were found in a registry or an index.

Understanding the impact of antibiotic perturbation on the human microbiome

Open access
Schwartz, Drew J., Langdon, Amy E., Dantas, Gautam·2020·Genome Medicine

Abstract

The human gut microbiome is a dynamic collection of bacteria, archaea, fungi, and viruses that performs essential functions for immune development, pathogen colonization resistance, and food metabolism. Perturbation of the gut microbiome’s ecological balance, commonly by antibiotics, can cause and exacerbate diseases. To predict and successfully rescue such perturbations, first, we must understand the underlying taxonomic and functional dynamics of the microbiome as it changes throughout infancy, childhood, and adulthood. We offer an overview of the healthy gut bacterial architecture over these life stages and comment on vulnerability to short and long courses of antibiotics. Second, the resilience of the microbiome after antibiotic perturbation depends on key characteristics, such as the nature, timing, duration, and spectrum of a course of antibiotics, as well as microbiome modulatory factors such as age, travel, underlying illness, antibiotic resistance pattern, and diet. In this review, we discuss acute and chronic antibiotic perturbations to the microbiome and resistome in the context of microbiome stability and dynamics. We specifically discuss key taxonomic and resistance gene changes that accompany antibiotic treatment of neonates, children, and adults. Restoration of a healthy gut microbial ecosystem after routine antibiotics will require rationally managed exposure to specific antibiotics and microbes. To that end, we review the use of fecal microbiota transplantation and probiotics to direct recolonization of the gut ecosystem. We conclude with our perspectives on how best to assess, predict, and aid recovery of the microbiome after antibiotic perturbation.

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Metadata

Authors
Schwartz, D. J., Langdon, A. E., & Dantas, G.
Venue
Genome Medicine
Published
2020-09-28
Volume
12
Issue
1
Pages
82-82
ISSN
1756-994X (ISSN-L)
OpenAlex
W3090902422
Cited by
322
References
123
FWCI
10.10
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Understanding the impact of antibiotic perturbation on the human microbiome. https://app.cochat.ai/papers/10.1186/s13073-020-00782-x
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Schwartz, D. J., Langdon, A. E., & Dantas, G. (2020). Understanding the impact of antibiotic perturbation on the human microbiome. Genome Medicine. https://doi.org/10.1186/s13073-020-00782-x

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