Hypothesis: Orally ingested lactoferrin has effects on promotion of growth and differentiation of the immature gut; also it has immunomodulatory properties, so it will prevent serious infections in preterm infants. The aim of the study is to: * Evaluate the effectiveness of oral lactoferrin in prevention of neonatal sepsis. * Compare two dose regiment of lactoferrin supplementation. * Study effect of lactoferrin supplementation on serum iron stores. It is a prospective, randomized, double blind, placebo-controlled study, it will include 180 preterm neonates admitted to the Neonatal Intensive Care Units of of Ain Shams University Hospitals and Manshiet El Bakry Hospital. •Group A: Who will receive oral lactoferrin supplementation in a dose of 100 mg/day. •Group B: Who will receive oral lactoferrin supplementation in a dose of 150 mg/kg/ twice daily. •Group C (Controls): Who match the subjected neonates, will receive placebo in form of distilled water.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
180
dose of 100 mg/day
dose of 150 mg/kg/ twice daily
in form of distilled water
Ain Shams University
Cairo, Abassia, Egypt
Blood culture
Time frame: 2 years
Complete blood count with differential leucocytic count.
Time frame: 2 years
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