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      Probiotic treatment vs empiric oral antibiotics for managing dysbiosis in short bowel syndrome: Impact on the mucosal and stool microbiota, short-chain fatty acids, and adaptation.

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          Abstract

          Infants and children with short bowel syndrome (SBS) are presumed to be at risk of gut microbial dysbiosis with potential sequelae of bacterial overgrowth that include sepsis, d-lactic acidosis, mucosal inflammation, and malabsorption. In neonatal piglets with SBS, we compared intestinal microbial composition, short-chain fatty acids (SCFAs), and adaptation given probiotic (PRO) treatment (Lactobacillus and Bifidobacterium spp) vs oral metronidazole (MET).

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          Most cited references29

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          DADA2: High resolution sample inference from Illumina amplicon data

          We present DADA2, a software package that models and corrects Illumina-sequenced amplicon errors. DADA2 infers sample sequences exactly, without coarse-graining into OTUs, and resolves differences of as little as one nucleotide. In several mock communities DADA2 identified more real variants and output fewer spurious sequences than other methods. We applied DADA2 to vaginal samples from a cohort of pregnant women, revealing a diversity of previously undetected Lactobacillus crispatus variants.
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            Proteobacteria: microbial signature of dysbiosis in gut microbiota.

            Recent advances in sequencing techniques, applied to the study of microbial communities, have provided compelling evidence that the mammalian intestinal tract harbors a complex microbial community whose composition is a critical determinant of host health in the context of metabolism and inflammation. Given that an imbalanced gut microbiota often arises from a sustained increase in abundance of the phylum Proteobacteria, the natural human gut flora normally contains only a minor proportion of this phylum. Here, we review studies that explored the association between an abnormal expansion of Proteobacteria and a compromised ability to maintain a balanced gut microbial community. We also propose that an increased prevalence of Proteobacteria is a potential diagnostic signature of dysbiosis and risk of disease.
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              Author Correction: Reproducible, interactive, scalable and extensible microbiome data science using QIIME 2

              An amendment to this paper has been published and can be accessed via a link at the top of the paper.
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                Author and article information

                Journal
                JPEN J Parenter Enteral Nutr
                JPEN. Journal of parenteral and enteral nutrition
                Wiley
                1941-2444
                0148-6071
                Nov 2022
                : 46
                : 8
                Affiliations
                [1 ] Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
                [2 ] Faculty of Agriculture, Life and Environmental Sciences, University of Alberta, Edmonton, Alberta, Canada.
                [3 ] Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.
                [4 ] Department of Surgery, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA.
                Article
                10.1002/jpen.2377
                35383975
                c5c2365b-ca09-4d37-bbfb-3797ecc9cd95
                History

                life cycle,microbiome,enteral nutrition,nutrition,parenteral nutrition,pediatrics,probiotics,research and diseases,sepsis,short bowel syndrome,surgery

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