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Publication Name World Journal of Gastroenterology
Manuscript ID 123234
Country China
Received
2026-05-13 07:13
Peer-Review Started
2026-05-13 07:14
First Decision by Editorial Office Director
Return for Revision
2026-06-29 08:27
Revised
2026-06-30 15:00
Publication Fee Transferred
2026-07-06 12:10
Second Decision by Editor
2026-07-24 03:17
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-28 12:55
Articles in Press
2026-07-28 12:55
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-10-09 02:53
Publish the Manuscript Online
2026-10-20 03:52
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Critical Care Medicine
Manuscript Type Minireviews
Article Title Antibiotic-associated gut dysbiosis and intestinal failure in critically ill patients: Mechanisms and interventions
Manuscript Source Unsolicited Manuscript
All Author List Liang Tian and Shan-Shan Xu
ORCID
Author(s) ORCID Number
Liang Tian http://orcid.org/0009-0002-8322-1986
Funding Agency and Grant Number
Corresponding Author Liang Tian, Associate Faculty, Chief Pharmacist, Department of Pharmacy, Shanghai Deji Hospital, Qingdao University Shanghai Clinical Medical College, No. 378 Gulang Road, Putuo District, Shanghai 200331, China. tianliang@shneuro.org
Key Words Anti-bacterial agents; Gut microbiota dysbiosis; Critically ill patients; Intestinal failure; Short-chain fatty acids; Molecular mechanisms; Antibiotic stewardship
Core Tip Broad-spectrum antibiotics precipitate a four-stage pathological cascade in critically ill patients: Gut microbiota dysbiosis, short-chain fatty acid depletion, intestinal barrier injury, and systemic inflammatory activation, ultimately driving multiple organ dysfunction syndrome. This review maps each cascade stage to a specific intervention, proposing a stage-based therapeutic framework. Three clinical priorities: Microbiome surveillance after prolonged antibiotic exposure, early enteral nutrition within 48 hours, and integration of days-of-therapy/antibiotic spectrum index metrics into stewardship decisions.
Publish Date 2026-10-20 03:52
Citation

Tian L, Xu SS. Antibiotic-associated gut dysbiosis and intestinal failure in critically ill patients: Mechanisms and interventions. World J Gastroenterol 2026; 32(46): 123234

URL https://www.wjgnet.com/1007-9327/full/v32/i46/123234.htm
DOI https://doi.org/10.3748/wjg.123234
Full Article (PDF) WJG-32-123234-with-cover.pdf
Manuscript File 123234_Auto_Edited_011040.docx
Answering Reviewers 123234-answering-reviewers.pdf
Audio Core Tip 123234-audio.mp3
Conflict-of-Interest Disclosure Form 123234-conflict-of-interest-statement.pdf
Copyright License Agreement 123234-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 123234-non-native-speakers.pdf
Peer-review Report 123234-peer-reviews.pdf
Scientific Misconduct Check 123234-scientific-misconduct-check.png
CrossCheck Report 123234-crosscheck-report.pdf