Cited by 164Infant Nutrition and HealthProbiotics and Fermented FoodsNeonatal and Maternal Infections

Para-probiotics for Preterm Neonates—The Next Frontier

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Deshpande, Girish, Athalye-Jape, Gayatri, Patole, Sanjay·2018·Nutrients

Abstract

Current evidence supports the use of probiotics in preterm neonates for prevention of necrotizing enterocolitis, mortality and late onset sepsis. Despite the strong evidence, the uptake of this intervention has not been universal due to concerns including probiotic sepsis, pro-inflammatory response and transmission of antibiotic resistance. Critically ill extremely preterm neonates with potentially compromised gut integrity are at higher risk of probiotic sepsis due to translocation. In most countries, probiotics are sold as food supplements with poor quality control. The traditional definition of probiotics as “live microorganisms” has been challenged as many experts have questioned the importance of viability in the context of the beneficial effects of probiotics. Paraprobiotics (ghost probiotics), are defined as non-viable microbial cells (intact or broken) or crude cell extracts (i.e., with complex chemical composition), which, when administered (orally or topically) in adequate amounts, confer a benefit on the human or animal consumer. Current evidence indicates that paraprobiotics could be safe alternatives to probiotics in preterm neonates. High-quality pre-clinical and clinical studies including adequately powered randomised controlled trials (RCTs) are warranted in preterm neonates to explore this new frontier.

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Authors
Deshpande, G., Athalye-Jape, G., & Patole, S.
Affiliations
  • The University of Sydney (AU)
  • Department of Neonatology, King Edward Memorial Hospital for Women, Perth, WA 6008, Australia
  • King Edward Memorial Hospital (AU)
Corresponding author
Patole, Sanjay
Venue
Nutrients
Publisher
MDPI AG
Published
2018-07-05
Volume
10
Issue
7
Pages
871
ISSN
2072-6643 (ISSN-L)
OpenAlex
W2810457622
Cited by
164
References
81
Citations by year
2026: 13 · 2025: 25 · 2024: 23 · 2023: 19 · 2022: 23 · 2021: 30 · 2020: 15 · 2019: 13 · 2018: 3
FWCI
1.95
Type
journal article
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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 › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
Keywords
paraprobiotics, preterm infants, probiotics, necrotizing enterocolitis, intestinal barrier integrity, cell extracts, antibiotic resistance transmission, probiotic safety, extremely preterm infants
MeSH terms
Gastrointestinal Microbiome, Animals, Gestational Age, Humans, Infant, Infant Mortality, Infant, Newborn, Infant, Premature, Risk Factors, Sepsis, Evidence-Based Medicine, Probiotics, Enterocolitis, Necrotizing, Gastrointestinal Tract, Premature Birth

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