Effect of Bifidobacterium administration on very-low-birthweight infants

Background:  The aim of this study was to evaluate the efficacy and safety of early administration of Bifidobacterium bifidum OLB6378 (B. bifidum) on accelerating enteral feeding and bacterial colonization in very‐low‐birthweight (VLBW) infants. Methods:  We conducted a single‐center prospective pil...

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Veröffentlicht in:Pediatrics international 2012-10, Vol.54 (5), p.651-656
Hauptverfasser: Yamasaki, Chika, Totsu, Satsuki, Uchiyama, Atushi, Nakanishi, Hidehiko, Masumoto, Kenichi, Washio, Yosuke, Shuri, Kyoko, Ishida, Shuji, Imai, Ken, Kusuda, Satoshi
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container_issue 5
container_start_page 651
container_title Pediatrics international
container_volume 54
creator Yamasaki, Chika
Totsu, Satsuki
Uchiyama, Atushi
Nakanishi, Hidehiko
Masumoto, Kenichi
Washio, Yosuke
Shuri, Kyoko
Ishida, Shuji
Imai, Ken
Kusuda, Satoshi
description Background:  The aim of this study was to evaluate the efficacy and safety of early administration of Bifidobacterium bifidum OLB6378 (B. bifidum) on accelerating enteral feeding and bacterial colonization in very‐low‐birthweight (VLBW) infants. Methods:  We conducted a single‐center prospective pilot study. Thirty‐six VLBW infants were randomly divided into two groups: group E, wherein B. bifidum was supplemented within 48 h of birth, and group L, wherein it was supplemented more than 48 h after birth. Results:  Group E and group L reached a total feeding volume of 100 mL/(kg/day) after 10 [7–13] days and 11 [10–15] days, respectively (median [quartile]). The daily bodyweight gain in group E was significantly higher (21.4 ± 3.2 g/day vs 18.3 ± 4.0 g/day, P < 0.02; 11.1 ± 1.5 g/kg/day vs 10.4 ± 1.2 g/kg/day, P < 0.04). No significant differences were found in the fecal Bifidobacterium level between the groups quantitated with a real‐time polymerase chain reaction assay at 1 and 4 weeks of age. However, the highest colonization rate of Bifidobacterium was observed when the supplementation started between 24 and 48 h after birth. The incidence of morbidities between the groups was similar. Conclusion:  The early administration of B. bifidum to VLBW infants seems effective in promoting growth during the stay in the neonatal intensive care unit without increasing the incidence of morbidity. Furthermore, the preferable timing of starting the probiotic supplementation for VLBW infants is at latest less than 48 h after birth.
doi_str_mv 10.1111/j.1442-200X.2012.03649.x
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Methods:  We conducted a single‐center prospective pilot study. Thirty‐six VLBW infants were randomly divided into two groups: group E, wherein B. bifidum was supplemented within 48 h of birth, and group L, wherein it was supplemented more than 48 h after birth. Results:  Group E and group L reached a total feeding volume of 100 mL/(kg/day) after 10 [7–13] days and 11 [10–15] days, respectively (median [quartile]). The daily bodyweight gain in group E was significantly higher (21.4 ± 3.2 g/day vs 18.3 ± 4.0 g/day, P &lt; 0.02; 11.1 ± 1.5 g/kg/day vs 10.4 ± 1.2 g/kg/day, P &lt; 0.04). No significant differences were found in the fecal Bifidobacterium level between the groups quantitated with a real‐time polymerase chain reaction assay at 1 and 4 weeks of age. However, the highest colonization rate of Bifidobacterium was observed when the supplementation started between 24 and 48 h after birth. The incidence of morbidities between the groups was similar. Conclusion:  The early administration of B. bifidum to VLBW infants seems effective in promoting growth during the stay in the neonatal intensive care unit without increasing the incidence of morbidity. Furthermore, the preferable timing of starting the probiotic supplementation for VLBW infants is at latest less than 48 h after birth.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/j.1442-200X.2012.03649.x</identifier><identifier>PMID: 22507386</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Babies ; Bacteria ; Bifidobacterium ; Bifidobacterium bifidum ; Birth weight ; Child Development ; colonization ; Dietary Supplements ; Drug therapy ; enteral feeding ; Enteral Nutrition ; Female ; Humans ; Incidence ; Infant, Newborn ; Infant, Very Low Birth Weight - growth &amp; development ; Male ; Metagenome - genetics ; Pilot Projects ; probiotics ; Probiotics - administration &amp; dosage ; Probiotics - adverse effects ; Prospective Studies ; Real-Time Polymerase Chain Reaction</subject><ispartof>Pediatrics international, 2012-10, Vol.54 (5), p.651-656</ispartof><rights>2012 The Authors. 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Conclusion:  The early administration of B. bifidum to VLBW infants seems effective in promoting growth during the stay in the neonatal intensive care unit without increasing the incidence of morbidity. 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Methods:  We conducted a single‐center prospective pilot study. Thirty‐six VLBW infants were randomly divided into two groups: group E, wherein B. bifidum was supplemented within 48 h of birth, and group L, wherein it was supplemented more than 48 h after birth. Results:  Group E and group L reached a total feeding volume of 100 mL/(kg/day) after 10 [7–13] days and 11 [10–15] days, respectively (median [quartile]). The daily bodyweight gain in group E was significantly higher (21.4 ± 3.2 g/day vs 18.3 ± 4.0 g/day, P &lt; 0.02; 11.1 ± 1.5 g/kg/day vs 10.4 ± 1.2 g/kg/day, P &lt; 0.04). No significant differences were found in the fecal Bifidobacterium level between the groups quantitated with a real‐time polymerase chain reaction assay at 1 and 4 weeks of age. However, the highest colonization rate of Bifidobacterium was observed when the supplementation started between 24 and 48 h after birth. The incidence of morbidities between the groups was similar. Conclusion:  The early administration of B. bifidum to VLBW infants seems effective in promoting growth during the stay in the neonatal intensive care unit without increasing the incidence of morbidity. Furthermore, the preferable timing of starting the probiotic supplementation for VLBW infants is at latest less than 48 h after birth.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22507386</pmid><doi>10.1111/j.1442-200X.2012.03649.x</doi><tpages>6</tpages></addata></record>
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subjects Babies
Bacteria
Bifidobacterium
Bifidobacterium bifidum
Birth weight
Child Development
colonization
Dietary Supplements
Drug therapy
enteral feeding
Enteral Nutrition
Female
Humans
Incidence
Infant, Newborn
Infant, Very Low Birth Weight - growth & development
Male
Metagenome - genetics
Pilot Projects
probiotics
Probiotics - administration & dosage
Probiotics - adverse effects
Prospective Studies
Real-Time Polymerase Chain Reaction
title Effect of Bifidobacterium administration on very-low-birthweight infants
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