Probiotics and necrotizing enterocolitis

In this review, we summarize existing knowledge regarding the effects of probiotics on necrotizing enterocolitis (NEC). We review the role of the microbiome in NEC and pre-clinical data on mechanisms of probiotic action. Next, we summarize existing randomized controlled trials and observational stud...

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Veröffentlicht in:Seminars in pediatric surgery 2018-02, Vol.27 (1), p.39-46
Hauptverfasser: Patel, Ravi Mangal, Underwood, Mark A.
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description In this review, we summarize existing knowledge regarding the effects of probiotics on necrotizing enterocolitis (NEC). We review the role of the microbiome in NEC and pre-clinical data on mechanisms of probiotic action. Next, we summarize existing randomized controlled trials and observational studies of probiotics to prevent NEC. We also summarize findings from several recent meta-analyses and report a new cumulative meta-analysis of probiotic trials. Finally, we review data from cohorts routinely using commercially available probiotics. Our goal is to inform clinicians about the risks and benefits of probiotics, which may be helpful for those considering use in preterm infants to prevent NEC, death, or sepsis.
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subjects Bacteria
Enterocolitis, Necrotizing - microbiology
Enterocolitis, Necrotizing - prevention & control
Gastrointestinal Microbiome
Gut
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - microbiology
Infant, Premature, Diseases - prevention & control
Meta-analysis
Microbiome
Neonate
Preterm
Probiotics - therapeutic use
Treatment Outcome
title Probiotics and necrotizing enterocolitis
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