Intestinal microbiome as a risk factor for urinary tract infections in children

AbstractAs urinary tract infection (UTI) pathogens originate from the gut, we hypothesized that the gut environment reflected by intestinal microbiome influences the risk of UTI. Our prospective case-control study compared the intestinal microbiomes of 37 children with a febrile UTI with those of 69 healthy children. We sequenced the regions of the bacterial 16S rRNA gene and used the LefSe algorithm to calculate the size of the linear discriminant analysis (LDA) effect. We measured fecal lactoferrin and iron concentrations and quantitative PCR forEscherichia coli. At the phylum level, there were no significant differences. At the genus level,Enterobacter was more abundant in UTI patients with an LDA score  >  3 (log 10), while Peptostreptococcaceae were more abundant in healthy subjects with an LDA score >  3 (log 10). In total, 20 OTUs with significantly different abundances were observed. Previous use of antimicrobials did not associate with intestinal microbiome. The relative abundance ofE. coli was 1.9% in UTI patients and 0.5% in controls (95% CI of the difference —0.8 to 3.6%). The mean concentration ofE.coli in quantitative PCR was 0.14  ng/μl in the patients and 0.08 ng/μl in the controls (95% CI of the difference—0.04 to 0.16). Fecal iron and lactoferrin concentrations were similar between the groups. At the family and genus level, we noted several differences in the intestinal microbiome between children with UTI and healt hy children, which m...
Source: European Journal of Clinical Microbiology and Infectious Diseases - Category: Microbiology Source Type: research