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. 2022 Jun 10;181(9):3459–3471. doi: 10.1007/s00431-022-04516-6

What is Known:

• Antibiotic application during the perinatal period is unavoidable in the clinic.

• Misuse of antibiotics can cause various unintended consequences, especially for antibiotic resistance.

What is New:

• Antibiotic treatments had no influence on the microbiota of breast milk but greatly disturbed the gut microbiota composition in infants.

• The gut microbiota in infants would partly return to its initial state after rehabilitation but the transfer of ARGs would leave the hidden trouble of antibiotic resistance.