Gastrointestinal bacterial infections are associated with substantial perturbations of the gut microbiota, yet most microbiome studies have examined individual pathogens in isolation, limiting identification of shared and pathogen-specific microbial signatures across enteric infections. We performed a comparative analysis of fecal microbiota profiles from 586 stool samples using 16S rRNA gene sequencing, encompassing infections caused by Clostridioides difficile, Campylobacter spp., and Salmonella spp., alongside viral gastroenteritis, diagnostic-negative samples, and healthy controls. Fecal calprotectin concentrations were measured in a subset of samples to assess intestinal inflammation. Comparative analyses revealed two major dysbiotic configurations among bacterial enteric infections. C. difficile infection was characterized by an Enterococcus-dominated community structure, whereas Campylobacter and Salmonella infections were associated with enrichment of a tightly correlated consortium of oral-associated taxa, including Streptococcus, Granulicatella, and Haemophilus. These taxa were among the most informative features in an XGBoost machine-learning classifier, which accurately discriminated bacterial infection types from one another and from viral infections and healthy-associated microbiota profiles (macro F1 score = 0.74). In contrast, expansion of Enterobacteriaceae represented a shared, non-specific signature of intestinal disturbance and was associated with elevated fecal calprotectin concentrations. Together, these findings demonstrate that bacterial enteric infections are associated with distinct microbiota configurations that distinguish pathogen-specific signatures from general infection-related dysbiosis. The enrichment of oral-associated taxa in Campylobacter and Salmonella infections suggests a potential role for the oral-gut microbial axis in bacterial gastroenteritis and provides a foundation for future mechanistic studies and the development of microbiota-informed diagnostic, preventive, and therapeutic strategies.
Mahnic, A., Markovic, R., Marhl, M., Golle, A., Stopnisek, N., Rupnik, M.
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