Indirect Effect of Azithromycin Use on the Intestinal Microbiome Diversity of Untreated Children: A Randomized Trial

Catherine E Oldenburg, Ali Sié, Boubacar Coulibaly, Lucienne Ouermi, Clarisse Dah, Charlemagne Tapsoba, Till Bärnighausen, Elodie Lebas, Ahmed M Arzika, Susie Cummings, Lina Zhong, Thomas M Lietman, Jeremy D Keenan, Thuy Doan, Catherine E Oldenburg, Ali Sié, Boubacar Coulibaly, Lucienne Ouermi, Clarisse Dah, Charlemagne Tapsoba, Till Bärnighausen, Elodie Lebas, Ahmed M Arzika, Susie Cummings, Lina Zhong, Thomas M Lietman, Jeremy D Keenan, Thuy Doan

Abstract

Cohabiting children may share components of their intestinal microbiome. We evaluated whether receipt of azithromycin in one sibling confers changes to the intestinal microbiome in an untreated sibling compared with placebo in a randomized controlled trial. We found no evidence of an indirect effect of antibiotic use in cohabiting children. Clinical Trials Registrations: NCT03187834.

Figures

Figure 1.
Figure 1.
Posttreatment Simpson (A) and Shannon (B) diversity of gut bacteria in untreated siblings of children treated with azithromycin (red line) or placebo (black line).

References

    1. Doan T, Arzika A, Ray KJ, et al. . Gut microbial diversity in antibiotic-naïve children after systemic antibiotic exposure: a randomized controlled trial. Clin Infect Dis 2017; 64:1147–53.
    1. Oldenburg CE, Sie A, Coulibaly B, et al. . Effect of commonly-used pediatric antibiotics on gut microbial diversity in preschool children in Burkina Faso: a randomized clinical trial. Open Forum Infect Dis 2018; 5:ofy289.
    1. Doan T, Hinterwirth A, Arzika AM, et al. . Mass azithromycin distribution and community microbiome: a cluster-randomized trial. Open Forum Infect Dis 2018; 5:1–5.
    1. Korpela K, Salonen A, Virta LJ, et al. . Intestinal microbiome is related to lifetime antibiotic use in Finnish pre-school children. Nat Commun 2016; 7:10410.
    1. Korpela K, Zijlmans MAC, Kuitunen M, et al. . Childhood BMI in relation to microbiota in infancy and lifetime antibiotic use. Microbiome 2017; 5:26.
    1. Martin R, Makino H, Cetinyurek Yavuz A, et al. . Early-life events, including mode of delivery and type of feeding, siblings and gender, shape the developing gut microbiota. PLoS One 2016; 11:e0158498-30.
    1. Laursen MF, Zachariassen G, Bahl MI, et al. . Having older siblings is associated with gut microbiota development during early childhood. BMC Microbiol 2015; 15:154.
    1. Azad MB, Konya TB, Maughan H, et al. . Infant gut microbiota and the hygiene hypothesis of allergic disease: impact of household pets and siblings on microbiota composition and diversity. Allergy, Asthma, Clin Immunol 2013; 9:15.
    1. Sie A, Louis VR, Gbangou A, et al. . The Health and Demographic Surveillance System (HDSS) in Nouna, Burkina Faso, 1993–2007. Glob Health Action 2010; 3:5284.
    1. Sie A, Dah C, Ouermi L, et al. . Effect of antibiotics on short-term growth among children in Burkina Faso: a randomized trial. Am J Trop Med Hyg 2018; 99:789–96.
    1. Porco TC, Stoller NE, Keenan JD, Bailey RL, Lietman TM. Public key cryptography for quality assurance in randomization for clinical trials. Contemp Clin Trials 2015; 42:167–8.
    1. House JI, Ayele B, Porco TC, et al. . Assessment of herd protection against trachoma due to repeated mass antibiotic distributions: a cluster-randomised trial. Lancet 2009; 373:1111–8.
    1. Freedberg DE, Salmasian H, Cohen B, et al. . Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed. JAMA Intern Med 2016; 176:1801–8.
    1. Abeles SR, Jones MB, Santiago-Rodriguez TM, et al. . Microbial diversity in individuals and their household contacts following typical antibiotic courses. Microbiome 2016; 4:39.

Source: PubMed

3
Prenumerera