Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants

Fifty five premature infants with very low body weight were observed as inpatients to assess effectiveness of the nursing. The standard program of the care included: adequate primary resuscitation, respiratory support (use of surfactant), thermal mode, early provision of nutrients with full or parti...

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Main Authors: L. A. Lo Schiavo, N. V. Gonchar, A. N. Suvorov, N. P. Shabalov, S. G. Grigoriev
Format: Article
Language:Russian
Published: LLC "Publishing House OKI" 2020-05-01
Series:Антибиотики и Химиотерапия
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Online Access:https://www.antibiotics-chemotherapy.ru/jour/article/view/529
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author L. A. Lo Schiavo
N. V. Gonchar
A. N. Suvorov
N. P. Shabalov
S. G. Grigoriev
author_facet L. A. Lo Schiavo
N. V. Gonchar
A. N. Suvorov
N. P. Shabalov
S. G. Grigoriev
author_sort L. A. Lo Schiavo
collection DOAJ
description Fifty five premature infants with very low body weight were observed as inpatients to assess effectiveness of the nursing. The standard program of the care included: adequate primary resuscitation, respiratory support (use of surfactant), thermal mode, early provision of nutrients with full or partial parenteral nutrition, antimicrobial therapy and if possible early enteral nutrition. The patients of the main group (n=29) along with the standard therapy (the volume of the enteral nutrition of 5 ml or more) were treated orally with liquid probiotic based on E.faecium L3 in a dose of 0.5 ml (5x108 CFU) 3 times a day for 14 days. The control group (n=26) was under the standard therapy. The effectiveness of the infants management was estimated by the frequency of disruption of the nutrition, the frequency of infectious complications, the changes in the hematologic indices, the dynamics of the composition of the intestinal microflora. The infectious complications were evident from perinatal viral infection, intraamniotic infection, necrotizing enterocolitis. In the main group patients there was recorded a significant decrease of the frequency of infectious complications: 20.7% against 53.9% in the control group patients. The use of probiotic strain E.faecium L3 in the preterm infants promoted conservation of the immunomodulatory function of the intestinal indigenic microflora and restricted the growth of the nosocomial flora.
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spelling doaj-art-a2ac2772e55b47c4b4be0a29c3a17fce2025-08-03T13:04:47ZrusLLC "Publishing House OKI"Антибиотики и Химиотерапия0235-29902020-05-01591-23035528Value of Probiotic in Reducing Frequency of Infectious Complications in Premature InfantsL. A. Lo Schiavo0N. V. Gonchar1A. N. Suvorov2N. P. Shabalov3S. G. Grigoriev4Municipal Children's Hospital № 1, St.PetersburgI.I. Mechnikov North-Western State Medical University, St.Petersburg; Scientific Research Institute of Children's Infections, St.PetersburgResearch Institute of Experimental Medicine, North-Western Branch of Russian Academy of Medical Sciences; St.Petersburg Department of Fundamental Problems of Medicine and Medical Technologies, St.Petersburg State University, St.PetersburgS.М. Kirov Military Medical Academy, St.PetersburgS.М. Kirov Military Medical Academy, St.PetersburgFifty five premature infants with very low body weight were observed as inpatients to assess effectiveness of the nursing. The standard program of the care included: adequate primary resuscitation, respiratory support (use of surfactant), thermal mode, early provision of nutrients with full or partial parenteral nutrition, antimicrobial therapy and if possible early enteral nutrition. The patients of the main group (n=29) along with the standard therapy (the volume of the enteral nutrition of 5 ml or more) were treated orally with liquid probiotic based on E.faecium L3 in a dose of 0.5 ml (5x108 CFU) 3 times a day for 14 days. The control group (n=26) was under the standard therapy. The effectiveness of the infants management was estimated by the frequency of disruption of the nutrition, the frequency of infectious complications, the changes in the hematologic indices, the dynamics of the composition of the intestinal microflora. The infectious complications were evident from perinatal viral infection, intraamniotic infection, necrotizing enterocolitis. In the main group patients there was recorded a significant decrease of the frequency of infectious complications: 20.7% against 53.9% in the control group patients. The use of probiotic strain E.faecium L3 in the preterm infants promoted conservation of the immunomodulatory function of the intestinal indigenic microflora and restricted the growth of the nosocomial flora.https://www.antibiotics-chemotherapy.ru/jour/article/view/529preterm infantsinfectious complicationsneonatal periodmicrofloratreatmentprobioticsenterococcus
spellingShingle L. A. Lo Schiavo
N. V. Gonchar
A. N. Suvorov
N. P. Shabalov
S. G. Grigoriev
Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants
Антибиотики и Химиотерапия
preterm infants
infectious complications
neonatal period
microflora
treatment
probiotics
enterococcus
title Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants
title_full Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants
title_fullStr Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants
title_full_unstemmed Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants
title_short Value of Probiotic in Reducing Frequency of Infectious Complications in Premature Infants
title_sort value of probiotic in reducing frequency of infectious complications in premature infants
topic preterm infants
infectious complications
neonatal period
microflora
treatment
probiotics
enterococcus
url https://www.antibiotics-chemotherapy.ru/jour/article/view/529
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