Study Results
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Basic Information
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COMPLETED
463 participants
OBSERVATIONAL
2010-09-30
2012-10-31
Brief Summary
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The pathogenesis of NEC remains largely unclear, but it is widely considered as a multifactorial disease. Prematurity, enteral feeding, bacterial colonisation of the gut and intestinal ischemia have been proposed as major risk factors.
Probiotics may prevent NEC by improving the maturity and function of the gut mucosal barrier, modulating the immune system, promoting colonization of the gut with beneficial organisms and preventing colonization by pathogens.
A variety of clinical trials have evaluated the effect of different probiotic preparations on the occurrence of NEC in preterm infants. The results of recent metaanalyses suggest a benefit of probiotic bacteria in reducing the incidence of NEC and propose a change of practice.
The aim of the study is to evaluate the efficacy of the probiotic preparation Infloran® in reducing the incidence of NEC after implementation in clinical routine in preterm (\< 34 weeks gestational age) very low birth weight infants compared to a historical cohort.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Probiotics (Infloran)
Very low birth weight Infants receiving 2 capsules/d Infloran starting in the first week of life
No interventions assigned to this group
Control
Very low birth weight Infants who did not receive Infloran (historical cohort)
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Very low birth weight (\<1500 gram)
* Prematurity \< 34/0 weeks gestational age
* For group receiving probiotics: 230 infants born after the 20/Sep/2010 (i.e. date of introduction of Infloran in clinical routine)
* For control group (historical): 230 infants born before 2010
Exclusion Criteria
* Death before seven days of life, except due to NEC
* Transfer to another hospital before 37 weeks of corrected gestational age, except those who were transferred to a partner clinic using the same protocol for probiotic supplementation
* For group receiving probiotics: Infants who did not receive Infloran® starting in the first week of life or stopped before 34 weeks gestational age, except infants who developed NEC (reason for discontinuation of Infloran)
7 Days
ALL
No
Sponsors
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Wilheminenspital der Stadt Wien
UNKNOWN
Medical University of Vienna
OTHER
Responsible Party
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Andreas Repa
MD
Principal Investigators
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Andreas Repa, MD
Role: PRINCIPAL_INVESTIGATOR
Medical University Vienna
Nadja Haiden, MD
Role: STUDY_DIRECTOR
Medical University Vienna
Margarita Thanhäuser, MD
Role: STUDY_CHAIR
Medical University Vienna
Locations
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Medical University Vienna
Vienna, , Austria
Wilheminenspital der Stadt Wien
Vienna, , Austria
Countries
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References
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Repa A, Thanhaeuser M, Endress D, Weber M, Kreissl A, Binder C, Berger A, Haiden N. Probiotics (Lactobacillus acidophilus and Bifidobacterium infantis) prevent NEC in VLBW infants fed breast milk but not formula [corrected]. Pediatr Res. 2015 Feb;77(2):381-8. doi: 10.1038/pr.2014.192. Epub 2014 Nov 25.
Related Links
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Homepage Medical University Vienna
Other Identifiers
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MUV-Neo3
Identifier Type: -
Identifier Source: org_study_id
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