<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v8i5.7033</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Correlation Analysis Between Children with Atopic Dermatitis and Asthma and Factors Affecting Intestinal Flora </title><url>https://artdesignp.com/journal/JCNR/8/5/10.26689/jcnr.v8i5.7033</url><author>ChenWei,DongHanyue,LiHongmin</author><pub-date pub-type="publication-year"><year>2024</year></pub-date><volume>8</volume><issue>5</issue><history><date date-type="pub"><published-time>2024-06-20</published-time></date></history><abstract>Objective: In order to reveal the potential association between intestinal flora and atopic dermatitis with asthma, the study compares the changes in intestinal flora before and after treatment with antibiotics in children and explores the risk factors for the disease development in children. The differences between asthma-controlled children and healthy children were also analyzed to investigate whether there was a correlation between the level of control and intestinal flora in asthmatic children. Methods: 367 children with atopic dermatitis and asthma were selected, and the control group was healthy children who did not have other skin diseases. Fecal samples were collected from healthy children and children with asthma, and the intestinal flora was tested at Beijing Nebula Medical Testing Laboratory Co. At the same time, 50 children were selected according to the inclusion and exclusion criteria to take amide antibiotics during hospitalization, and stool samples were collected before and after taking antibiotics. Results: The proportion of Gram-positive cocci increased and the proportion of Gram-positive bacilli decreased after the administration of antibiotics in children with atopic dermatitis and asthma (P &amp;lt; 0.05), and no significant difference was shown in the gender and age of the children (P &amp;gt; 0.05). The proportion of family history of atopic dermatitis with asthma was higher in the experimental group (P &amp;lt; 0.05). Conclusion: The use of antibiotics in children with atopic dermatitis with asthma showed a positive correlation with changes in intestinal flora. The use of antibiotics may lead to changes in intestinal flora and increase the risk of atopic dermatitis with asthma. Antibiotic use in infancy and childhood is also recognized as a risk factor for atopic dermatitis with asthma. Therefore, the use of antibiotics should be minimized in preventing and treating atopic dermatitis with asthma.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>Melli LCFL, do Carmo-Rodrigues MS, Araújo-Filho HB, et al., 2020, Gut Microbiota of Children with Atopic Dermatitis: Controlled Study in the Metropolitan Region of São Paulo, Brazil. Allergologia et Immunopathologia, 48(2): 107–115.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B2" content-type="article"><label>2</label><element-citation publication-type="journal"><p>Demirci M, Tokman HB, Uysal HK, et al., 2019, Reduced Akkermansia muciniphila and Faecalibacterium prausnitzii Levels in the Gut Microbiota of Children with Allergic Asthma. Allergologia et Immunopathologia, 47(4): 365–371.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B3" content-type="article"><label>3</label><element-citation publication-type="journal"><p>Zimmermann P, Messina N, Mohn WW, et al., 2019, Association Between the Intestinal Microbiota and Allergic Sensitization, Eczema, and Asthma: A Systematic Review. Journal of Allergy and Clinical Immunology, 143(2): 467–485.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B4" content-type="article"><label>4</label><element-citation publication-type="journal"><p>Petersen EBM, Skov L, Thyssen JP, et al., 2019, Role of the Gut Microbiota in Atopic Dermatitis: A Systematic Review. Acta Dermato-Venereologica, 99(1): 5–11.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B5" content-type="article"><label>5</label><element-citation publication-type="journal"><p>Galazzo G, van Best N, Bervoets L, et al., 2020, Development of the Microbiota and Associations with Birth Mode, Diet, and Atopic Disorders in a Longitudinal Analysis of Stool Samples, Collected from Infancy Through Early Childhood. Gastroenterology, 158(6): 1584–1596.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B6" content-type="article"><label>6</label><element-citation publication-type="journal"><p>Yoon W, Park SH, Lee JS, et al., 2021, Probiotic Mixture Reduces Gut Inflammation and Microbial Dysbiosis in Children with Atopic Dermatitis. Australasian Journal of Dermatology, 62(3): e386–e392.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B7" content-type="article"><label>7</label><element-citation publication-type="journal"><p>?o?-Rychalska E, Go??biewski M, Grzybowski T, et al., 2020, The Microbiome and Its Impact on Food Allergy and Atopic Dermatitis in Children. Advances in Dermatology and Allergology, 37(5): 641–650.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B8" content-type="article"><label>8</label><element-citation publication-type="journal"><p>Sbihi H, Boutin RCT, Cutler C, et al., 2019, Thinking Bigger: How Early-Life Environmental Exposures Shape the Gut Microbiome and Influence the Development of Asthma and Allergic Disease. Allergy, 74(11): 2103–2115.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B9" content-type="article"><label>9</label><element-citation publication-type="journal"><p>Gao Y, Nanan R, Macia L, et al., 2021, The Maternal Gut Microbiome During Pregnancy and Offspring Allergy and Asthma. Journal of Allergy and Clinical Immunology, 148(3): 669–678.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B10" content-type="article"><label>10</label><element-citation publication-type="journal"><p>Huidrom S, 2021, Therapeutic Approach of Probiotics in Children with Atopic Dermatitis. Anti-Inflammatory &amp; Anti-Allergy Agents in Medicinal Chemistry, 20(1): 2–9.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B11" content-type="article"><label>11</label><element-citation publication-type="journal"><p>Kielenniva K, Ainonen S, Vänni P, et al., 2022, Microbiota of the First-Pass Meconium and Subsequent Atopic and Allergic Disorders in Children. Clinical &amp; Experimental Allergy, 52(5): 684–696.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B12" content-type="article"><label>12</label><element-citation publication-type="journal"><p>Mahdavinia M, Greenfield LR, Moore D, et al., 2021, House Dust Microbiota and Atopic Dermatitis; Effect of Urbanization. Pediatric Allergy and Immunology, 32(5): 1006–1012.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B13" content-type="article"><label>13</label><element-citation publication-type="journal"><p>Milliken S, Allen RM, Lamont RF, 2019, The Role of Antimicrobial Treatment During Pregnancy on the Neonatal Gut Microbiome and the Development of Atopy, Asthma, Allergy and Obesity in Childhood. Expert Opinion on Drug Safety, 18(3): 173–185.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B14" content-type="article"><label>14</label><element-citation publication-type="journal"><p>Lee?Sarwar KA, Chen YC, Chen YY, et al., 2023, The Maternal Prenatal and Offspring Early?Life Gut Microbiome of Childhood Asthma Phenotypes. Allergy, 78(2): 418–428.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B15" content-type="article"><label>15</label><element-citation publication-type="journal"><p>Levan SR, Stamnes KA, Lin DL, et al., 2019, Elevated Faecal 12,13-diHOME Concentration in Neonates at High Risk for Asthma is Produced by Gut Bacteria and Impedes Immune Tolerance. Nature Microbiology, 4(11): 1851–1861.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B16" content-type="article"><label>16</label><element-citation publication-type="journal"><p>Sasaki M, Schwab C, Ramirez Garcia A, et al., 2022, The Abundance of Ruminococcus bromii is Associated with Faecal Butyrate Levels and Atopic Dermatitis in Infancy. Allergy, 77(12): 3629–3640.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B17" content-type="article"><label>17</label><element-citation publication-type="journal"><p>Sun S, Chang G, Zhang L, 2022, The Prevention Effect of Probiotics Against Eczema in Children: An Update Systematic Review and Meta-Analysis. Journal of Dermatological Treatment, 33(4): 1844–1854.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B18" content-type="article"><label>18</label><element-citation publication-type="journal"><p>Akagawa S, Kaneko K, 2022, Gut Microbiota and Allergic Diseases in Children. Allergology International, 71(3): 301–309.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B19" content-type="article"><label>19</label><element-citation publication-type="journal"><p>Seppo AE, Bu K, Jumabaeva M, et al., 2021, Infant Gut Microbiome is Enriched with Bifidobacterium longum ssp. infantis in Old Order Mennonites with Traditional Farming Lifestyle. Allergy, 76(11): 3489–3503.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B20" content-type="article"><label>20</label><element-citation publication-type="journal"><p>Musso P, Chiappini E, Bernardini R, 2020, Human Microbiome and Allergic Diseases in Children: Pathogenetic Role and Therapeutic Options. Current Pediatric Reviews, 16(2): 89–94.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B21" content-type="article"><label>21</label><element-citation publication-type="journal"><p>Venter C, Meyer RW, Nwaru BI, et al., 2019, Influence of Dietary Fatty Acids on Asthma, Food Allergy, and Atopic Dermatitis. Allergy, 74(8): 1429–1444.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
