Effects of IAP-EOGBSD on Offspring's Gut Microbiome and Immunity.

Sponsor
Zhujiang Hospital (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT05738460
Collaborator
Zhongshan Bo Ai Hospital (Other)
180
1
16.2
11.1

Study Details

Study Description

Brief Summary

This study is planned to be recruited in two hospitals in South China, Zhujiang Hospital of Southern Medical University and Zhongshan Boai Hospital Recruit participants, plan to recruit obstetrics and child health departments in study hospitals, meet inclusion and discharge criteria 1~3 infants, a total of 360, recruited by Pearl River Hospital of Southern Medical University and Zhongshan Boai Hospital 180 people each.

Condition or Disease Intervention/Treatment Phase

Detailed Description

This is a case-control study. By collecting fecal samples of infants and young children in the observation group and control group at different time points (01 years old, 12 years old, 2~3 years old), the intestinal flora of infants and young children was detected by 16S rDNA sequencing, and fecal calprotectin (CP) and secretory IgA (SIgA) were detected by ELISA. To study the effects of exposure factors on intestinal flora and immunity in offspring.

Study Design

Study Type:
Observational
Anticipated Enrollment :
180 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
The Effects of Intrapartum Antibiotic Prophylaxis to Prevent Group B Streptococcal Early-onset Disease on Intestinal Microbiome and Immunity of Offspring
Actual Study Start Date :
Feb 23, 2022
Anticipated Primary Completion Date :
Jun 30, 2023
Anticipated Study Completion Date :
Jun 30, 2023

Arms and Interventions

Arm Intervention/Treatment
Reproductive tract GBS colonization group of mothers during pregnancy

Reproductive tract GBS colonization group of mothers during pregnancy,Use of antibiotics

Drug: antibiotics
Reproductive tract GBS colonization group of mothers during pregnancy,Use of antibiotics
Other Names:
  • antibiotic
  • No reproductive tract GBS colonization group in mothers during pregnancy

    No reproductive tract GBS colonization group in mothers during pregnancy

    Outcome Measures

    Primary Outcome Measures

    1. Intestinal flora [Fecal samples of infants and young children in the observation group and control group at different time points (0~1 years old) of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the gut microbiome.

    2. Secretory IgA [Fecal samples of infants and young children in the observation group and control group at different time points (0~1 years old) of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the secretory IgA of offspring.

    3. Calprotectin [Fecal samples of infants and young children in the observation group and control group at different time points (0~1 years old) of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the cailprotectin of offspring.

    Secondary Outcome Measures

    1. Intestinal flora [Fecal samples of infants and young children in the observation group and control group at different time points 1~2 years of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the gut microbiome.

    2. Secretory IgA [Fecal samples of infants and young children in the observation group and control group at different time points 1~2 years of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the secretory IgA of offspring.

    3. Calprotectin [Fecal samples of infants and young children in the observation group and control group at different time points 1~2 years of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the cailprotectin of offspring.

    Other Outcome Measures

    1. Intestinal flora [Fecal samples of infants and young children in the observation group and control group at different time points 2~3 years old of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the gut microbiome.

    2. Secretory IgA [Fecal samples of infants and young children in the observation group and control group at different time points 2~3 years old of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the secretory IgA of offspring.

    3. Calprotectin [Fecal samples of infants and young children in the observation group and control group at different time points 2~3 years old of offspring were collected]

      Analyze the effect of intrapartum antibiotics on the prevention of early-onset group B streptococcal diseases on the secretory IgA of offspring.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    37 Weeks to 41 Weeks
    Sexes Eligible for Study:
    All
    Inclusion Criteria:
    • Infants:37-41 weeks of age, born through vaginal delivery, 2500g<= birth weight < 4000g,0-3 years of age;

    • The mother: birth ranging in age from 18 to 40 years old, the single pregnancy, pregnancy 35 -41 weeks to complete the GBS screening;

    • The guardian agrees to participate in the study voluntarily.

    Exclusion Criteria:
    • Infants and children with serious congenital abnormalities, infections or clinical diseases;

    • Antibiotics should be used in infants within 2 weeks, probiotics, prebiotics and biostime should be supplemented, or long-term drug treatment should be given for digestive, immune, blood and other diseases;

    • Infant mothers: childbirth after long-term drug treatment due to digestive, immune, blood and chronic diseases during pregnancy; Or infants who were breastfed within 12 hours of antibiotic use after delivery;

    • Any medical or non-medical condition that the investigator deems inappropriate to participate in.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Zhujiang Hospital Guangzhou Guang Dong China 510000

    Sponsors and Collaborators

    • Zhujiang Hospital
    • Zhongshan Bo Ai Hospital

    Investigators

    • Study Chair: Qian Wang, Southern Medical University, China

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Zhujiang Hospital
    ClinicalTrials.gov Identifier:
    NCT05738460
    Other Study ID Numbers:
    • CMOH2102
    First Posted:
    Feb 22, 2023
    Last Update Posted:
    Feb 22, 2023
    Last Verified:
    Feb 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Zhujiang Hospital
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Feb 22, 2023