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001-es BibID:	BIBFORM125595
Első szerző:	Petrilla Annamária
Cím:	Comparative analysis of the postadmission and antemortem oropharyngeal and rectal swab microbiota of ICU patients / Annamaria Petrilla, Peter Nemeth, Peter Fauszt, Anna Szilagyi-Racz, Maja Mikolas, Emese Szilagyi-Tolnai, Peter David, Aniko Stagel, Ferenc Gal, Kristof Gal, Reka Sohajda, Trinh Pham, Laszlo Stundl, Sandor Biro, Judit Remenyik, Melinda Paholcsek
Dátum:	2024
ISSN:	2045-2322
Megjegyzések:	Shotgun metabarcoding was conducted to examine the microbiota in a total of 48 samples from 12 critically ill patients, analyzing samples from both the oropharynx and rectum. We aimed to compare their postadmission microbiota, characterized as moderately dysbiotic, with the severely dysbiotic antemortem microbiota associated with patients' deaths. We found that, compared with postadmission samples, patient antemortem swab samples presented moderate but not significantly decreased diversity indices. The antemortem oropharyngeal samples presented an increase in biofilm forming bacteria, including Streptococcus oralis, methicillin-resistant Staphylococcus aureus (MRSA), and Enterococcus faecalis. Although the septic shock rate was 67%, no significant differences were detected in the potential pathogen ratios when the microbiota was analyzed. A notable strain sharing rate between the oropharynx and intestine was noted. By comparing postadmission and antemortem samples, microbial biomarkers of severe dysbiosis were pinpointed through the analysis of differentially abundant and uniquely emerging species in both oropharyngeal and rectal swabs. Demonstrating strong interconnectivity along the oral-intestinal axis, these biomarkers could serve as indicators of the progression of dysbiosis. Furthermore, the microbial networks of the oropharyngeal microbiota in deceased patients presented the lowest modularity, suggesting a vulnerable community structure. Our data also highlight the critical importance of introducing treatments aimed at enhancing the resilience of the oral cavity microbiome, thereby contributing to better patient outcomes.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Scientific Reports. - 14 : 1 (2024), p. 1-17. -
További szerzők:	Németh Péter Fauszt Péter (1992-) (mikrobiom) Szilágyi-Rácz Anna Anita (1995-) (molekuláris biológus) Mikolás Maja (2000-) (molekuláris biológus) Szilágyi-Tolnai Emese (1988-) (Molekuláris biológus) Dávid Péter (1984-) (biológia tanár) Stágel Anikó (agrár) Gál Ferenc (1986-) (gyógyszerész) Gál Kristóf (1994-) (orvos) Siposné Sohajda Réka Pham, Trinh Stündl László (1970-) (agrármérnök) Biró Sándor (1949-) (molekuláris genetikus) Gálné Remenyik Judit (1965-) (kémia tanár, okleveles vegyész) Paholcsek Melinda (1984-) (molekuláris biológus, genetikus)
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