Mastitis
Conditions
Keywords
probiotic, Lactobacillus salivarius, mastitis, prevention, group B streptococci, intrapartum prophylaxis
Brief summary
In previous studies, the investigators have seen that carefully-selected Lactobacillus strains are a good alternative to antibiotics for the treatment of lactational mastitis. The objective of this new study is to check if they can also have a preventive role when administered to women with a history of mastitis with one or more previous infants. Since the investigators have also realized that peripartum antibiotherapy (mainly GBS-targeting intrapartum prophylaxis)is a predisposing factor for mastitis (because of the selection of resistant bacteria), the investigators would also like to test if administration of the strains to GBS-colonized pregnant women may lead to GBS eradication. Therefore, a mastitis-predisposing factor would de avoid.
Interventions
9 log10 (colony-forming units), freeze-dried powder, daily for 30 week of pregnancy until birth
100 mg/once a day from 30 week of pregnancy until birth
Sponsors
Study design
Eligibility
Inclusion criteria
* Normal pregnancy * Healthy women * Lactational mastitis in, at least, a previous lactation period * No symptomatic vaginal infections
Exclusion criteria
* Any kind of health problems related to pregnancy * Symptomatic vaginal infections * Allergy to cow's milk protein * Intolerance to lactose * Antibiotic treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evidence of clinical mastitis confirmed by microbiological cultures and somatic cell counts | Weekly during the first 6 months after birth |
Secondary
| Measure | Time frame |
|---|---|
| Evidence of eradication og GBS colonization as confirmed by microbiological analysis of vaginal exudate and rectal swab | At weeks 30, 35, 40 of pregnancy |
Countries
Spain