Cited by 47Inflammatory Bowel DiseaseGut microbiota and healthProbiotics and Fermented Foods

Gut microbiota and inflammatory bowel disease: the role of antibiotics in disease management

Kerman, David H., Deshpande, Amar R.·2014·Postgraduate Medicine

Abstract

Imbalances in the composition and number of bacteria in the gut microbiota have been implicated in inflammatory bowel disease (IBD), and modulation of the gut microbiota by probiotics and antibiotics in IBD has been an active area of research, with mixed results. This narrative review summarizes the findings of relevant publications identified using the PubMed database. Although antibiotics have been associated with an increased risk of IBD development and flares, several meta-analyses demonstrate that antibiotics are efficacious for the induction of remission and treatment of flares in patients with IBD. Data supporting their use include a large number of antibiotic studies in Crohn's disease and evidence suggests antibiotics are efficacious in both Crohn's disease and ulcerative colitis, although there are fewer studies of the latter. For Crohn's disease, antibiotics have been shown to be useful for the induction of remission and in the postoperative management of patients undergoing surgery. Additionally, patients with fistulizing disease, particularly perianal, can benefit from antibiotics administered short term. Both antimicrobials and probiotics have been shown to be useful for the treatment of pouchitis. Additional randomized controlled trials are needed to further elucidate the role of bacteria in IBD and to better inform clinicians about appropriate antibiotic therapies.

Integrity signals

Registry

Crossref · 10.3810/pgm.2014.07.2779

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  • Several meta-analyses have revealed that antibiotics are effective in inducing remission and treating flares in patients with IBD.

    “Although exposure to antibiotics is considered to be a potential risk factor for IBD (11, 128, 129), several meta-analyses have revealed that antibiotics are effective in inducing remission and treating flares in patients with IBD (130, 131).”

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Authors
Kerman, D. H., & Deshpande, A. R.
Affiliations
University of Miami (US)
Corresponding author
Kerman, David H.
Venue
Postgraduate Medicine
Published
2014-07
Volume
126
Issue
4
Pages
7-19
ISSN
  • 0032-5481 (ISSN-L)
  • 1941-9260
OpenAlex
W2116012654
Cited by
47
References
105
Citations by year
2026: 2 · 2025: 1 · 2024: 10 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 4 · 2016: 10 · 2015: 2
FWCI
0.71
Type
journal article
Language
en
Open access
closed
Locations
  • Postgraduate Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Keywords
gut microbiota, inflammatory bowel disease, antibiotics, Crohn's disease, ulcerative colitis, probiotics, remission induction, disease flares, postoperative care, anal fistula, pouchitis, IBD risk
MeSH terms
Animals, Anti-Bacterial Agents, Colitis, Ulcerative, Crohn Disease, Humans, Intestines, Rectal Fistula, Remission Induction, Inflammatory Bowel Diseases, Probiotics, Microbiota

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