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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
400
Lactobacillus reuteri 100 million CFU/day for 3 months
Placebo for 3 months
Zekai Tahir Burak Maternity Teaching Hospital, Neonatology Unit
Ankara, Turkey, Turkey (Türkiye)
Effect of Lactobacillus reuteri on necrotizing enterocolitis in VLBW infants
NEC diagnosis will make modified Bell's criteria. Grade 1A will not include in NEC group.
Time frame: up to 6 months
Effect of Lactobacillus reuteri on culture proved sepsis
Patients with culture positivity will accept as proven sepsis.
Time frame: up to 6 months
Effect of Lactobacillus reuteri on weight gain
The infants will be weight daily on scales that will calibrated weekly.
Time frame: up to 6 months
Effect of Lactobacillus reuteri on length of hospital stay
Specified length of hospital stay as days
Time frame: up to 6 months
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