Breast Milk Microbiota: a Review of the Factors That Influence Composition
Published in "Journal of Infection 81(1): 17–47, 2020" which should be cited to refer to this work. ✩ Breast milk microbiota: A review of the factors that influence composition ∗ Petra Zimmermann a,b,c,d, , Nigel Curtis b,c,d a Department of Paediatrics, Fribourg Hospital HFR and Faculty of Science and Medicine, University of Fribourg, Switzerland b Department of Paediatrics, The University of Melbourne, Parkville, Australia c Infectious Diseases Research Group, Murdoch Children’s Research Institute, Parkville, Australia d Infectious Diseases Unit, The Royal Children’s Hospital Melbourne, Parkville, Australia s u m m a r y Breastfeeding is associated with considerable health benefits for infants. Aside from essential nutrients, immune cells and bioactive components, breast milk also contains a diverse range of microbes, which are important for maintaining mammary and infant health. In this review, we summarise studies that have Keywords: investigated the composition of the breast milk microbiota and factors that might influence it. Microbiome We identified 44 studies investigating 3105 breast milk samples from 2655 women. Several studies Diversity reported that the bacterial diversity is higher in breast milk than infant or maternal faeces. The maxi- Delivery mum number of each bacterial taxonomic level detected per study was 58 phyla, 133 classes, 263 orders, Caesarean 596 families, 590 genera, 1300 species and 3563 operational taxonomic units. Furthermore, fungal, ar- GBS chaeal, eukaryotic and viral DNA was also detected. The most frequently found genera were Staphylococ- Antibiotics cus, Streptococcus Lactobacillus, Pseudomonas, Bifidobacterium, Corynebacterium, Enterococcus, Acinetobacter, BMI Rothia, Cutibacterium, Veillonella and Bacteroides. There was some evidence that gestational age, delivery Probiotics mode, biological sex, parity, intrapartum antibiotics, lactation stage, diet, BMI, composition of breast milk, Smoking Diet HIV infection, geographic location and collection/feeding method influence the composition of the breast milk microbiota.
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