Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study

Cardiac surgery remains a field of medicine with a high percentage of postoperative complications, including infectious ones. Modern data indicate a close relationship of infectious disorders with pathological changes in the composition of the gut microbiome; however, the extent of such changes in c...

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Autores principales: Ekaterina Chernevskaya, Evgenii Zuev, Vera Odintsova, Anastasiia Meglei, Natalia Beloborodova
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/e5b19b7432de49fe9a3adb38671f6353
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spelling oai:doaj.org-article:e5b19b7432de49fe9a3adb38671f63532021-11-25T18:07:18ZGut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study10.3390/jpm111111132075-4426https://doaj.org/article/e5b19b7432de49fe9a3adb38671f63532021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1113https://doaj.org/toc/2075-4426Cardiac surgery remains a field of medicine with a high percentage of postoperative complications, including infectious ones. Modern data indicate a close relationship of infectious disorders with pathological changes in the composition of the gut microbiome; however, the extent of such changes in cardiac surgery patients is not fully clarified. In this prospective, observational, single center, pilot study, 72 patients were included, 12 among them with the infectious complications. We analyzed the features of the fecal microbiota before and in the early postoperative period, as one of the markers for predicting the occurrence of bacterial infection. We also discovered the significant change in microbial composition in the group of patients with infectious complications compared to the non-infectious group before and after cardiac surgery, despite the intra-individual variation in composition of gut microbiome. Our study demonstrated that the group of patients that had a bacterial infection in the early postoperative period already had an altered microbial composition even before the surgery. Further studies will evaluate the clinical significance of the identified proportions of individual taxa of the intestinal microbiota and consider the microbiota as a novel target for reducing the risk of infectious complications.Ekaterina ChernevskayaEvgenii ZuevVera OdintsovaAnastasiia MegleiNatalia BeloborodovaMDPI AGarticlecardiovascular diseases16S RNA sequencingmicrobiomebiomarkerscritically illMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1113, p 1113 (2021)
institution DOAJ
collection DOAJ
language EN
topic cardiovascular diseases
16S RNA sequencing
microbiome
biomarkers
critically ill
Medicine
R
spellingShingle cardiovascular diseases
16S RNA sequencing
microbiome
biomarkers
critically ill
Medicine
R
Ekaterina Chernevskaya
Evgenii Zuev
Vera Odintsova
Anastasiia Meglei
Natalia Beloborodova
Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study
description Cardiac surgery remains a field of medicine with a high percentage of postoperative complications, including infectious ones. Modern data indicate a close relationship of infectious disorders with pathological changes in the composition of the gut microbiome; however, the extent of such changes in cardiac surgery patients is not fully clarified. In this prospective, observational, single center, pilot study, 72 patients were included, 12 among them with the infectious complications. We analyzed the features of the fecal microbiota before and in the early postoperative period, as one of the markers for predicting the occurrence of bacterial infection. We also discovered the significant change in microbial composition in the group of patients with infectious complications compared to the non-infectious group before and after cardiac surgery, despite the intra-individual variation in composition of gut microbiome. Our study demonstrated that the group of patients that had a bacterial infection in the early postoperative period already had an altered microbial composition even before the surgery. Further studies will evaluate the clinical significance of the identified proportions of individual taxa of the intestinal microbiota and consider the microbiota as a novel target for reducing the risk of infectious complications.
format article
author Ekaterina Chernevskaya
Evgenii Zuev
Vera Odintsova
Anastasiia Meglei
Natalia Beloborodova
author_facet Ekaterina Chernevskaya
Evgenii Zuev
Vera Odintsova
Anastasiia Meglei
Natalia Beloborodova
author_sort Ekaterina Chernevskaya
title Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study
title_short Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study
title_full Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study
title_fullStr Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study
title_full_unstemmed Gut Microbiota as Early Predictor of Infectious Complications before Cardiac Surgery: A Prospective Pilot Study
title_sort gut microbiota as early predictor of infectious complications before cardiac surgery: a prospective pilot study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/e5b19b7432de49fe9a3adb38671f6353
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