Emergence of Raoultella ornithinolytica as a significant intestinal microbiota in Nigerian Neonates’
Keywords:
Gut microbiota, infection, Neonate, Raoultella ornithinolyticaAbstract
Background: There are increasing reports of Raoultella ornithinolytica infection in humans. This study reports significant contribution of Raoultella ornithinolytica to neonatal gut microbiota.
Methods: Rectal swab samples were collected in 70 healthy neonates, within 6-12hours of birth, and days 3, 9, and 14 after birth. Colonization by R. ornithinolytica was evaluated against neonatal characteristics.
Results: Among the 70 neonates, R. ornithinolytica was the fourth most common bacteria isolated. R. ornithinolytica was part of gut microbiota at birth, and on Day 3, Day 9, and Day 14 after birth in 15%, 28.6%, 21.4% and 5.7% of neonates respectively. No factor was associated with R. ornithinolytica colonization, but a trend towards an increased likelihood of colonization among females, asphyxiated and neonates whose mothers had prolonged labour was observed.
Conclusion: R. ornithinolytica has emerged as an important part of gut microbiota among neonates in Nigeria, but its’ role in neonatal dysbiosis and infection remains unclear.
References
Clemente JC, Ursell LK, Parfrey LW, Knight R. The impact of the gut microbiota on human health: an integrative view. Cell. 2012;148(6):1258-70.
Michael P, Sherman MD. New Concepts of Microbial Translocation in the Neonatal Intestine: Mechanisms and Prevention. Clin Perinatol. 2010;37(3):565-79.
Papoff P, Ceccarelli G, d'Ettorre G, Cerasaro C, Caresta E, Midulla F, et al. Gut microbial translocation in critically ill children and effects of supplementation with pre- and pro biotics. Int J Microbiol. 2012;2012:151393.
WHO. Newborn death and illness Geneva: World Health Organization; 2011 [Available from: http://www.who.int/pmnch/media/press_materials/fs/fs_newborndealth_illness/en/.
Bateman SL, Seed PC. Procession to pediatric bacteremia and sepsis: covert operations and failures in diplomacy. Pediatrics. 2010;126(1):137-50.
Hofer N, Zacharias E, Muller W, Resch B. Performance of the definitions of the systemic inflammatory response syndrome and sepsis in neonates. J Perinat Med. 2012;40(5):587-90.
Botwinski CA. Systemic inflammatory response syndrome. Neonatal Netw. 2001;20(5):21-8.
Waters D, Jawad I, Ahmad A, Lukšić I, Nair H, Zgaga L, et al. Aetiology of community-acquired neonatal sepsis in low and middle income countries. Journal of global health. 2011;1(2):154.
Medugu N, Iregbu K, Iroh Tam P-Y, Obaro S. Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review. PloS one. 2018;13(7):e0200350.
Pi D-d, Zhou F, Bai K, Liu C, Xu F, Li J. Raoultella ornithinolytica infection in the pediatric population: a retrospective study. Frontiers in Pediatrics. 2020;8.
Sandal G, Ozen M. Fatal Raoultella ornithinolytica sepsis and purpura fulminans in a preterm newborn. Indian Journal of Paediatric Dermatology. 2014;15(1):24.
Mahabeer Y, Singh-Moodley A, Mackanjee H, Perovic O, Mlisana KP. First report of neonatal bacteraemia caused by bla NDM-1 Raoultella ornithinolytica. Southern African Journal of Infectious Diseases. 2017;32(2):40-2.
Walckenaer E, Poirel L, Leflon-Guibout V, Nordmann P, Nicolas-Chanoine MH. Genetic and biochemical characterization of the chromosomal class A beta-lactamases of Raoultella (formerly Klebsiella) planticola and Raoultella ornithinolytica. Antimicrob Agents Chemother. 2004;48(1):305-12.
Kanki M, Yoda T, Tsukamoto T, Shibata T. Klebseilla pneumoniae produces no histamine: Raoutella plantico and Raoutella ornithinolytica strains are histamine producers. Appl Environ Microbiol. 2002;68(7):3462-6.
Wang S, Xu L, Chi X, Li Y, Kou Z, Hou P, et al. Emergence of NDM-1-and CTX-M-3-producing Raoultella ornithinolytica in human gut microbiota. Frontiers in microbiology. 2019;10:2678.
Podschun R, Acktun H, Okpara J, Linderkamp O, Ullmann U, Borneff-Lipp M. Isolation of Klebsiella planticola from newborns in a neonatal ward. Journal of Clinical Microbiology. 1998;36(8):2331-2.
Penders J, Thijs C, Vink C, Stelma FF, Snijders B, Kummeling I, et al. Factors influencing the composition of the intestinal microbiota in early infancy. Pediatrics. 2006;118(2):511-21.
Rutayisire E, Huang K, Liu Y, Tao F. The mode of delivery affects the diversity and colonization pattern of the gut microbiota during the first year of infants' life: a systematic review. BMC gastroenterology. 2016;16(1):1-12.
Gritz EC, Bhandari V. The human neonatal gut microbiome: a brief review. Frontiers in pediatrics. 2015;3:17.
Aagaard K, Ma J, Antony KM, Ganu R, Petrosino J, Versalovic J. The placenta harbors a unique microbiome. Science translational medicine. 2014;6(237):237ra65-ra65.
Kigbu A, Orimadegun AE, Tongo OO, Odaibo GN, Olaleye DO, Akinyinka OO. Intestinal bacterial colonization in the first 2 weeks of life of Nigerian neonates using standard culture methods. Frontiers in pediatrics. 2016;4:139.
Brazier L, Elguero E, Koumavor CK, Renaud N, Prugnolle F, Thomas F, et al. Evolution in fecal bacterial/viral composition in infants of two central African countries (Gabon and Republic of the Congo) during their first month of life. PloS one. 2017;12(10):e0185569.
Seng P, Boushab BM, Romain F, Gouriet F, Bruder N, Martin C, et al. Emerging role of Raoultella ornithinolytica in human infections: a series of cases and review of the literature. International Journal of Infectious Diseases. 2016;45:65-71.
Stoll BJ, Hansen NI, Sánchez PJ, Faix RG, Poindexter BB, Van Meurs KP, et al. Early onset neonatal sepsis: the burden of group B Streptococcal and E. coli disease continues. Pediatrics. 2011;127(5):817-26.
Park JS, Hong KH, Lee HJ, Choi SH, Song SH, Song K-H, et al. Evaluation of three phenotypic identification systems for clinical isolates of Raoultella ornithinolytica. Journal of medical microbiology. 2011;60(4):492-9.
Al-Hulu SM, Al-Charrakh AH, Al-Saadi MAK. Isolation and characterization of Raoultella ornithinolytica from Clinical Specimens in Hilla city, Iraq. Med J Babylon. 2009;7:42-7.
Hajjar R, Ambaraghassi G, Sebajang H, Schwenter F, Su S-H. Raoultella ornithinolytica: Emergence and Resistance. Infection and Drug Resistance. 2020;13:1091.
Drancourt M, Bollet C, Carta A, Rousselier P. Phylogenetic analyses of Klebsiella species delineate Klebsiella and Raoultella gen. nov., with description of Raoultella ornithinolytica comb. nov., Raoultella terrigena comb. nov. and Raoultella planticola comb. nov. International journal of systematic and evolutionary microbiology. 2001;51(3):925-32.
Hill CJ, Lynch DB, Murphy K, Ulaszewska M, Jeffery IB, O’Shea CA, et al. Evolution of gut microbiota composition from birth to 24 weeks in the INFANTMET Cohort. Microbiome. 2017;5(1):1-18.