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| Open AccessLess is more: Antibiotics at the beginning of life
Fear of missing neonatal sepsis has led to early in life antibiotic administration, even without culture-proven sepsis. Here, the authors discuss the potential impact on antimicrobial resistance, and chronic disease later in life, due to effect on the developing microbiome, suggesting a factual based approach in quantifying burden of treatment in relation to the burden of disease.
- Martin Stocker
- , Claus Klingenberg
- & Eric Giannoni
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Article
| Open AccessEffects of early-life antibiotics on the developing infant gut microbiome and resistome: a randomized trial
Here, in a randomized trial of 147 infants receiving distinct antibiotic regimens for early-onset neonatal sepsis, Reyman et al. characterize the gut microbiome and resistance profiles, finding differential effects of antibiotic combinations on microbial community composition and antimicrobial resistance genes.
- Marta Reyman
- , Marlies A. van Houten
- & Debby Bogaert
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Article
| Open AccessMultiple capsid-stabilizing interactions revealed in a high-resolution structure of an emerging picornavirus causing neonatal sepsis
Human parechovirus 3 (HPeV3) can cause severe central nervous system infections and is a major cause of neonatal sepsis. Here the authors determine the structure of HPeV3 that provides a high-resolution view of the capsid’s organization and shows multiple interactions of the RNA genome with coat proteins.
- Shabih Shakeel
- , Brenda M. Westerhuis
- & Sarah J. Butcher
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Article
| Open AccessIdentification of a human neonatal immune-metabolic network associated with bacterial infection
Infection remains a leading cause of morbidity and mortality in neonates worldwide. Here the authors report disproportionate immune stimulatory, co-inhibitory and metabolic pathway responses that specifically mark bacterial infection and can be used to predict sepsis in neonatal patients at the first clinical signs of infection.
- Claire L. Smith
- , Paul Dickinson
- & Peter Ghazal