Infant Journal
for neonatal and paediatric healthcare professionals

Current use of probiotics in neonatal units in England

Recent studies and meta-analyses suggest that probiotic supplementation in very preterm and very low birth weight babies has beneficial effects. We conducted a survey to shed light on the current use of probiotics across neonatal units in England, in light of recent recommendations. To our knowledge this is the first comprehensive survey of probiotic use covering all levels of neonatal units in England.

Ashok Karupaiah
Consultant Paediatrician and Neonatal Clinical Lead, Department of Paediatrics and Neonates, Walsall Manor Hospital NHS Trust
ashok.karupaiah@nhs.net

Abdulhakim Abdurrazaq
Locum Consultant, Department of Paediatrics, Walsall Manor Hospital NHS Trust

Josephine Quaynor
Specialty Trainee in Paediatrics, West Midlands Deanery

Karupaiah A., Abdurrazaq A., Quaynor J. Current use of probiotics in neonatal units in England. Infant 2023; 19(3): 84-86.

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Keywords
probiotics; necrotising enterocolitis; late onset sepsis; preterm infant
Key points
  1. Uptake of probiotics in neonatal units across England continues to be low, especially in special care baby units and local neonatal units.
  2. It is possible that uncertainties around bacterial strain selection and a lack of national guidance could be contributing to poor uptake in some units.

Also published in Infant:

VOLUME 16/ISSUE 1, JANUARY 2020
Full milk feeding from day one for preterm infants
The FEED1 trial will investigate whether full milk feeds from day 1 in infants born at 30+0 to 32+6 weeks’ gestation reduces the length of hospital stay when compared to intravenous fluids or parenteral nutrition with gradual milk feeding. Early establishment of milk feeding in preterm infants could reduce risks of infection and improve growth. Achieving fully nutritional volumes of milk feeds earlier and improving growth without infections or necrotising enterocolitis may help the infant to be ready for home sooner.

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