Development of the
paediatric gut microbiome
GUT flora development during infancy,
childhood and adolescent
There is evidence that microbial colonisation of the infant gut may begin prior to birth as the presence of microbes have been found in the placenta, amniotic fluid and the umbilical cord.35
Research has found bacteria in the infant’s merconium (first baby stool), suggesting that colonisation may actually start before birth.35
During the first year of an infant’s life, the relatively simple neonatal microbiome matures and develops into a more complex microbiome, with more composition and functionality than expected at birth.36
While some studies have suggested that the paediatric microbiome reaches a relatively stable, adult-like configuration within the first 3 years of life, other studies have demonstrated continued development through childhood into the teenage years.37
Gestational age at birth
Studies have shown that the intestinal microbiota of preterm infants differs from that of healthy term infants. Prematurity is associated with a high risk for neonatal complications and can lead to significant disease and death rates. These premature neonates are often exposed to prolonged hospitalizations, antibiotics, and formula feeding which may all disrupt the maturation of health-associated microbial communities. Importantly, alterations in the microbiome of preterm infants have been correlated with increased risk for complications such as necrotising enterocolitis (NEC) and late-onset blood or systemic infection.35
Infant Diet
Breast-fed infants have microbiota enriched with beneficial flora such as Lactobacillus, Staphylococcus, and Bifidobacterium, as compared to formula-fed infants who have greater quantities of microbes associated with inflammation, with a more rapid maturation of their microbiome toward that of an adult-type composition.35
Antibiotic treatment
The use of antibiotic in early life has profound effects on the development of the gut microflora.35
Environment
Exposure to less sanitary environments including contact with household pets and siblings, may have a significant effect on the developing microbiome. The number of older siblings positively correlates with bacterial diversity and richness at 18 months of age.35



