Probiotic supplement reduces risk of necrotizing enterocolitis and mortality in preterm very low-birth-weight infants: an updated meta-analysis of 20 randomized, controlled trials

被引:138
作者
Wang, Quanzhen [1 ]
Dong, Jing [2 ]
Zhu, Yimin
机构
[1] Peoples Hosp Xiangtan Cty, Dept Pediat, Xiangtan Cty 411200, Hunan, Peoples R China
[2] Pediat Res Inst, Changsha, Hunan, Peoples R China
关键词
Probiotics; Necrotizing enterocolitis; Preterm infants; DOUBLE-BLIND; ORAL SUPPLEMENTATION; PREMATURE-INFANTS; GASTROINTESTINAL MOTILITY; BIFIDOBACTERIUM-LACTIS; INTESTINAL MICROBIOTA; PREVENTION; LACTOBACILLUS; COLONIZATION; SEPSIS;
D O I
10.1016/j.jpedsurg.2011.09.064
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose: Necrotizing enterocolitis (NEC) is the most common acquired disease of the gastrointestinal tract in preterm infants, whereas probiotic supplementation might reduce NEC risk and potentially provide benefits to preterm infants. We performed an updated meta-analysis of all relevant randomized, controlled trials to assess the benefits of probiotic supplementation for preterm very low-birth-weight (VLBW) infants. Methods: We searched in PubMed, Embase, and Chinese BioMedical Literature Database (CBM) databases, and 20 randomized, controlled trials (a total of 3816 preterm VLBW infants) were finally included into this meta-analysis. Incidence and relative risk (RR) were calculated using a random-effects or fixed-effects model depending on the heterogeneity of the included studies. Results: Probiotic supplement was associated with a significantly decreased risk of NEC in preterm VLBW infants (RR = 0.33; 95% confidence interval [CI], 0.24-0.46; P < .00001). Risk of death was also significantly reduced in the probiotic group (RR = 0.56; 95% CI, 0.43-0.73; P < .0001). There was no difference in the risk of sepsis between the probiotic group and placebo group (RR = 0.90; 95% CI, 0.71-1.15; P = .40). Conclusions: Probiotic supplement can reduce risk of NEC and mortality in preterm VLBW infants. However, the optimum type of probiotic supplement and the long-term effects need further study. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:241 / 248
页数:8
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