Probiotics and prebiotics for the prevention of necrotizing enterocolitis

被引:15
作者
Stenger M.R. [1 ]
Reber K.M. [1 ]
Giannone P.J. [1 ]
Nankervis C.A. [1 ]
机构
[1] Department of Pediatrics, Ohio State University, Nationwide Children's Hospital, Columbus, OH 43205
关键词
Bifidobacteria; Intestinal bacterial colonization; Lactobacillus; Necrotizing enterocolitis; Oligosaccharides; Prebiotics; Premature; Prevention; Probiotics;
D O I
10.1007/s11908-010-0156-6
中图分类号
学科分类号
摘要
Necrotizing enterocolitis (NEC) continues to be a major cause of morbidity and mortality in premature infants. Although the pathogenesis of NEC remains unclear, abnormal bacterial colonization has been postulated as playing a central role. Various factors impact bacterial colonization following delivery. Compared to term infants, the bacterial colonization pattern in prematurely born infants is markedly different, with a greater predilection for colonization with pathogenic bacteria. Probiotic and prebiotic administration offers the opportunity to manipulate the intestinal bacterial environment, favoring the growth of commensal bacteria. Experimental data from animal studies and data from human trials suggest that probiotics decrease the incidence of NEC. These preliminary studies support the need for a large, randomized, controlled trial to further investigate the role of probiotics in the prevention of NEC. © 2010 Springer Science+Business Media, LLC.
引用
收藏
页码:13 / 20
页数:7
相关论文
共 67 条
[1]  
Henry M.C., Moss R.L., Necrotizing enterocolitis, Annu Rev Med, 60, pp. 111-124, (2009)
[2]  
Thompson A.M., Bizzarro M.J., Necrotizing enterocolitis in newborns: Pathogenesis, prevention and management, Drugs, 68, 9, pp. 1227-1238, (2008)
[3]  
Schnabl K.L., Van Aerde J.E., Thomson A.B., Clandinin M.T., Necrotizing enterocolitis: A multifactorial disease with no cure, World J Gastroenterol, 14, pp. 2142-2161, (2008)
[4]  
Lin P.W., Nasr T.R., Stoll B.J., Necrotizing Enterocolitis: Recent Scientific Advances in Pathophysiology and Prevention, Seminars in Perinatology, 32, 2, pp. 70-82, (2008)
[5]  
Martin C.R., Dammann O., Allred E.N., Et al., Neurodevelopment of extremely preterm infants who had necrotizing enterocolitis with or without late bacteremia, J Pediatr, 157, pp. 751-756, (2010)
[6]  
Santulli T.V., Schullinger J.N., Heird W.C., Et al., Acute necrotizing enterocolitis in infancy: A review of 64 cases, Pediatrics, 55, pp. 376-387, (1975)
[7]  
Neu J., Douglas-Escobar M., Lopez M., Microbes and the developing gastrointestinal tract, Nutr Clin Pract, 22, pp. 174-182, (2007)
[8]  
Mshvildadze M., Neu J., Shuster J., Et al., Intestinal microbial ecology in premature infants assessed with non-culture-based techniques, J Pediatr, 156, pp. 20-25, (2010)
[9]  
Hentges D.J., Human Intestinal Microflora in Health and Disease, (1983)
[10]  
Morowitz M.J., Poroyko V., Caplan M., Et al., Redefining the role of intestinal microbes in the pathogenesis of necrotizing enterocolitis, Pediatrics, 125, pp. 777-785, (2010)