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 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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◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆
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❏ ❏ ❏ ❏ ❏
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✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
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