Necrotizing Enterocolitis, Very Low Birth Weight Infants
Conditions
Brief summary
Probiotics are favorable microorganisms that regulate the flora of the gastrointestinal system and stimulate the immune system. Necrotizing enterocolitis incidence is 10-25% in newborn infants whose birth weights are \< 1500 g. Although bifidobacterium and other lactobacilli spp. have been used to reduce the incidence of necrotizing enterocolitis in clinical trials, Lactobacillus reuteri has not been used in the prevention of necrotizing enterocolitis in very low birth weight infants yet. The objective of this study is to evaluate the efficacy of orally administered Lactobacillus reuteri in reducing the incidence and severity of necrotizing enterocolitis in very low birth weight infants.
Interventions
Lactobacillus reuteri 100 million CFU/day for 3 months
Placebo for 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Very low birth weight infants \< 1500 gr * Gestational age \< 32 weeks
Exclusion criteria
* Genetic anomalies * Short bowel syndrome * Not willing to participate * Allergy to Lactobacillus reuteri components
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of Lactobacillus reuteri on necrotizing enterocolitis in VLBW infants | up to 6 months | NEC diagnosis will make modified Bell's criteria. Grade 1A will not include in NEC group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of Lactobacillus reuteri on culture proved sepsis | up to 6 months | Patients with culture positivity will accept as proven sepsis. |
| Effect of Lactobacillus reuteri on weight gain | up to 6 months | The infants will be weight daily on scales that will calibrated weekly. |
| Effect of Lactobacillus reuteri on length of hospital stay | up to 6 months | Specified length of hospital stay as days |
Countries
Turkey (Türkiye)