Review Article

Development and Functions of the Infant Gut Microflora: Western vs. Indian Infants

Table 1

Evolution of the gut microflora in Western breastfed infants [1, 14, 55, 57, 58].

Phase of infancyFamily/genus/speciesPhylumAerobic/anaerobic

Initial phase of bacterial acquisition (first 1-2 weeks after birth)Immediately after birthEscherichia coliProteobacteriaFacultative anaerobe
StreptococcusFirmicutesFacultative anaerobe
SubsequentlyStaphylococcusFirmicutesFacultative anaerobe
EnterococcusFirmicutesFacultative anaerobe
LactobacillusFirmicutesFacultative anaerobe/microaerophile
Postnatal day 4-7BacteroidesBacteroidetesObligate anaerobe
BifidobacteriumActinobacteriaAnaerobe
ClostridiumFirmicutesObligate anaerobe

Remaining period of exclusive breastfeeding (up to approximately 4 months of age)Bifidobacterium (predominant)ActinobacteriaAnaerobe
E. coli (decrease in proportion)ProteobacteriaFacultative anaerobe
Streptococcus (decrease in proportion)FirmicutesFacultative anaerobe
Bacteroides (decrease in proportion)BacteroidetesObligate anaerobe
Clostridium (decrease in proportion)FirmicutesObligate anaerobe

From introduction of solid food (4-6 months of age) to cessation of breastfeeding (around 1 year of age)EnterobacteriaceaeProteobacteriaFacultative anaerobe
EnterococcusFirmicutesFacultative anaerobe
BacteroidesBacteroidetesObligate anaerobe
ClostridiumFirmicutesObligate anaerobe
Anaerobic StreptococcusFirmicutesAnaerobe
BifidobacteriumActinobacteriaAnaerobe
LactobacillusFirmicutesFacultative anaerobe/microaerophile

After completion of weaning (approximately 2 years of age)Gut microflora begins to resemble that of adults