Incidence of Allergic Manifestations and Infectious Episodes in Healthy Term Infants at Risk for Dysbiosis

Recruitment & Eligibility

Inclusion Criteria

full-term infant (gestational age ≥ 37 and ≤ 42 weeks) in good health;
Having at least one risk factor for dysbiosis, including:
- birth by caesarean section,
- Antibiotic exposure between birth and inclusion or in utero (mother who received antibiotics) during the last trimester of pregnancy, or per-partum (mother who received antibiotics during childbirth),
- a family history of allergy confirmed by a doctor in a family member, affecting at least one of the two parents or siblings (asthma, atopic dermatitis, eczema, allergic rhinitis, proven food allergy);
Aged at most 5 weeks;
Having a weight in the reference values for gestational age and sex (between the 10th and the 90th percentiles according to the growth curves in force);
Already consuming an infant formula (with or without associated breast milk), or whose mother wishes to introduce an infant formula at the end of this consultation to switch to mixed breastfeeding or to start weaning;
Authorization of a parent (or both) or legal representative of the child to collect personal information about their child and family.

Exclusion Criteria

Premature infants or low birth weight (< 2500g);
Infant allergic to cow's milk protein;
Infants with severe congenital anomalies that may impact growth (cystic fibrosis, bronchopulmonary dysplasia, tracheomalacia, tracheoesophageal fistula, congenital heart defects ...);
Infants with chronic disease or severe neonatal pathology, or a pathology predisposing to infections (HIV, hepatitis B or C, autoimmune diabetes, immune deficiency, respiratory distress, sepsis, intraventricular hemorrhage, severe neonatal hepatitis, necrotizing enterocolitis, hypertension persistent pulmonary ...), or renal or hepatic pathology;
Inability of the parent or legal representative to understand the protocol of the study, or doubts of the physician on the ability or willingness to comply with the protocol.

Study & Design

Primary Outcome Measures

Name	Time	Method
Cumulative incidence of atopic dermatitis in the infants included in the study	12 months	Number of episodes of dermatitis reported during the 12 months of follow-up, and objectified by a SCORAD score \> 0.

Secondary Outcome Measures

Name	Time	Method
Observance	3, 6 and 12 months	% of children who consumed the formula prescribed by the doctor at the previous visit
Cumulative incidence of infections	3, 6 and 12 months	Cumulative number since the inclusion of episodes of: * Infection of the upper respiratory tract, * Infection of the lower respiratory tract, * Gastrointestinal infections, * pyelonephritis,
Consumption	3, 6 and 12 months	Number of days of consumption during the previous period.
Satisfaction with Likert scale	3, 6 and 12 months	5-level Likert scale filled in by the doctor and by parents
Weight	3, 6 and 12 months	Growth in term of weight
Atopic dermatitis	3, 6 and 12 months	Cumulative incidence of episodes of moderate atopic dermatitis (SCORAD score of 25 to 50) or severe episodes (SCORAD score\> 50)
Height	3, 6 and 12 months	Growth in term of height
Cumulative incidence of allergic manifestations	3, 6 and 12 months	Cumulative number since the inclusion of episodes of: * atopic dermatitis, * eczema, * wheezing, * allergic rhinitis
Gastrointestinal tolerance	3, 6 and 12 months	* Frequency, consistency, color and quantity of stool (Amsterdam scale), * Frequency and intensity of regurgitations (adapted score of Vandenplas), * Frequency and intensity of gas / bloating, colic, unexplained crying
Cranial perimeter	3, 6 and 12 months	Growth in terme of cranial perimeter

Recruitment & Eligibility