2 Infant Bacterial Therapeutics AB 142 180 227 23 55 94 89 - - PowerPoint PPT Presentation

2 infant bacterial therapeutics ab 142 180 227 23 55 94
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2 Infant Bacterial Therapeutics AB 142 180 227 23 55 94 89 - - PowerPoint PPT Presentation

Disclaimer 142 180 227 23 55 94 89 89 89 191 191 191 148 138 84 13 13 13 2 Infant Bacterial Therapeutics AB 142 180 227 23 55 94 89 89 89 191 191 191 148 138 84 13 13 13 3 The IBT concept 142 180 227 23


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Disclaimer

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Infant Bacterial Therapeutics AB

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The IBT concept

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CDC/NCHS, National Vital Statistics System

Mortality

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501-750g 42.0% 751-1,000g 29.4% 1,001-1250g 21.3% 1,251-1,500g 15.9% 1,501-2,500g 12,7%

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Ganapathy 2011, Niño 2016

NEC Economic Burden is estimated to be 20% of the total cost of initial care and $5 Billion spent annually on NEC in the USA

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18 2013 2016 2020 2030 2035

+ 2y pedia

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Improved survival from NEC Reduced intestinal damage

Control NEC NEC + L. reuteri

NEC Control NEC+Lr NEC NEC NEC+Lr NEC+Lr 20

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Walter et al., 2011 Walter et al., 2011

Schaefer 2010, Walter 2011, Wu 2013, West 2020

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NEC

Source Warner et al, 2016, Pammi et al. 2017

Controls

Days after birth

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Number of positive feces samples for identified pathogens from 30 infants

* *

P≤0.05

*

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  • L. reuteri inhibits S. aureus

Bacteria ▪ Bacillus subtilis ▪ Listeria monocytogenes ▪ Campylobacter jejuni ▪ Porphyromonas gingivalis ▪ Clostridium perfringens ▪ Prevotella intermedia ▪ Clostridium difficile ▪ Pseudomonas fluorescens ▪ Escherichia coli (patogena) ▪ Salmonella typhimurium ▪ Enterobacter sakazakii ▪ Shigella spp ▪ Fusobacterium nucleatum ▪ Staphylococcus aureus ▪ Helicobacter pylori ▪ Streptococcus mutans Yeast and fungi ▪ Candida albicans ▪ Aspergillus flavus ▪ Fusarium samiaciens

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*

  • L. reuteri

Placebo

FoxP3

Treg

P≤0.05

*

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Treg cell modulation Teff cell modulation

A B

  • L. reuteri

L. acidophilus

  • L. reuteri

L. acidophilus

FoxP3

Treg

Teff

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  • No. of episodes of

evacuations

  • No. of episodes of

regurgitation

Formula + L. reuteri

*

P≤0.05

*

Formula + L. reuteri Formula + placebo

* * *

Formula + placebo 27

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* reduction in episodes of feeding intolerance ** reduction in time to full enteral feeding

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Favors L. reuteri Favors placebo

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http://ibtherapeutics.com/wp-content/uploads/2016/03/Hot-topics-poster-1128.pdf 36

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◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆

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❏ ❏ ❏ ❏ ❏

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✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔

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