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Lactobacillus Sepsis and Probiotic Therapy in Newborns: Two New Cases and Literature Review
Open accessAbstract
Many term and preterm infants are commonly supplemented with probiotics to prevent adverse effects of antibiotic administration and necrotizing enterocolitis and they are believed to be safe. However, the supplementation with Lactobacillus rhamnosus GG has been associated with the development of sepsis with a cause-effect relationship in six newborns and children. In this study, we report two further cases and discuss the emerging issue of probiotic supplementation safety in neonates. We conclude that physicians must be aware that supplementation with L. rhamnosus GG can cause sepsis in high-risk patients on rare occasions.
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“Our review of the literature (from 1980 to 2023) found 23 cases where the blood isolate from a bacteremic patient was identical to the probiotic strain the patient had been taking.”
From Lactobacillus Bacteremia and Probiotics: A Review (2023) · cites this paper as [11]
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“The source of these infections has sometimes been attributed to the use of Lactobacillus-containing probiotics [9,10,11].”
From Lactobacillus Bacteremia and Probiotics: A Review (2023) · cites this paper as [11]
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Metadata
- Authors
- Coviello C, C., Corsini I, I., Arena, F., Antonelli, A., Rossolini, G., & Dani, C.
- Affiliations
- Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
- University of Siena (IT)
- University of Florence (IT)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- Corresponding author
- Dani, Carlo
- Venue
- American Journal of Perinatology Reports
- Publisher
- Georg Thieme Verlag KG
- Published
- 2015-10-28
- Volume
- 06
- Issue
- 01
- Pages
- e25-e29
- ISSN
- 2157-6998 (ISSN-L)
- 2157-7005
- PMC
- PMC4737628
- OpenAlex
- W2288212279
- Cited by
- 106
- References
- 32
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 4 · 2023: 14 · 2022: 10 · 2021: 20 · 2020: 10 · 2019: 11 · 2018: 7 · 2017: 9 · 2016: 7
- FWCI
- 10.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- American Journal of Perinatology Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion, cc-by-nc-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Florence Research (University of Florence) (submittedVersion, cc-by-nc-nd)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and Maternal Infections
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- Lactobacillus rhamnosus GG, probiotic safety, neonates, neonatal sepsis, probiotic supplementation, antibiotic adverse effects, necrotizing enterocolitis, preterm infants
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