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Oral Probiotics Prevent Necrotizing Enterocolitis in Very Low Birth Weight Neonates
Abstract
Objective To test the hypothesis that normalizing the intestinal flora by administration of prophylactic probiotics would provide a natural defense, thereby reducing both the incidence and severity of necrotizing enterocolitis (NEC) in preterm neonates. Study design Neonates < or =1500 g birth weight were randomized to either receive a daily feeding supplementation with a probiotic mixture (Bifidobacteria infantis, Streptococcus thermophilus, and Bifidobacteria bifidus; Solgar, Israel) of 10(9) colony forming units (CFU)/day or to not receive feed supplements. NEC was graded according to Bell's criteria. Results For 72 study and 73 control infants, respectively, birth weight (1152 +/- 262 g vs 1111 +/- 278 g), gestational age (30 +/- 3 weeks vs 29 +/- 4 weeks), and time to reach full feeds (14.6 +/- 8.7 days vs 17.5 +/- 13.6 days) were not different. The incidence of NEC was reduced in the study group (4% vs 16.4%; P=.03). NEC was less severe in the probiotic-supplemented infants (Bell's criteria 2.3 +/- 0.5 vs 1.3 +/- 0.5; P=.005). Three of 15 babies who developed NEC died, and all NEC-related deaths occurred in control infants. Conclusion Probiotic supplementation reduced both the incidence and severity of NEC in our premature neonatal population.
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“as well as in the prevention of necrotizing enterocolitis in children [138,145,146]”
From Intestinal microbiota in health and disease: Role of bifidobacteria in gut homeostasis (2014) · cites this paper as [146]
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“randomised controlled trials support a protective role of probiotics.162,163”
From The microbiome and critical illness (2016) · cites this paper as [162]
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on behalf of the Italian Society of Neonatology, Aceti, A., Gori, D., Barone, G., Callegari, M. L., Mauro, A. D., Fantini, M. P., Indrio, F., Maggio, L., Meneghin, F., et al. (2015) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-015-0199-2 · Cited by 130
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Metadata
- Authors
- Bin-Nun, A., Bromiker, R., Wilschanski, M., Kaplan, M., Rudensky, B., Caplan, M., & Hammerman, C.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Corresponding author
- Hammerman, Cathy
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2005-08
- Volume
- 147
- Issue
- 2
- Pages
- 192-196
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2100119754
- Cited by
- 590
- References
- 28
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 14 · 2023: 20 · 2022: 8 · 2021: 16 · 2020: 11 · 2019: 18 · 2018: 12 · 2017: 24 · 2016: 60 · 2015: 36 · 2014: 34 · 2013: 41 · 2012: 45
- FWCI
- 33.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and Maternal Infections
- Keywords
- necrotizing enterocolitis, probiotics, very low birth weight infants, preterm infants, Bifidobacterium infantis, Streptococcus thermophilus, Bifidobacterium bifidum, probiotic supplementation, gut microbiota, NEC incidence, NEC severity, NEC mortality
- MeSH terms
- Administration, Oral, Apgar Score, Bifidobacterium, Female, Gestational Age, Humans, Infant, Newborn, Male, Severity of Illness Index, Infant, Very Low Birth Weight, Probiotics, Enterocolitis, Necrotizing, Streptococcus thermophilus
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