Evidence map›Paper›PMID 29596218›Full record

Trial reportThe Pediatric infectious disease journal2019

Dietary Supplementation With Medium-Chain Triglycerides Reduces Candida Gastrointestinal Colonization in Preterm Infants.

Amanda B Arsenault, Kearney T W Gunsalus, Sonia S Laforce-Nesbitt, Lynn Przystac, Erik J DeAngelis, Michaela E Hurley, Ethan S Vorel, Richard Tucker, Nirupa R Matthan, Alice H Lichtenstein and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Pediatric infectious disease journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03630770 (Effect of Medium Chain Triglyceride Intake on Colonization of Preterm Infants With Candida), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03630770 phase1completednot on this map

Effect of Medium Chain Triglyceride Intake on Colonization of Preterm Infants With Candida

TypeinterventionalSponsorJoseph BlissRan2014 to 2021Enrolled12ConditionsCandida Infection, Premature InfantArmsMedium-Chain Triglyceride (MCT) Oil
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Review
  9. The Effect of Medium-Chain Triglycerides Oil onAntibiotics (Basel, Switzerland) · 2024
    Article
  10. Review
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Amanda B ArsenaultFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Kearney T W GunsalusDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts.
Sonia S Laforce-NesbittFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Lynn PrzystacFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Erik J DeAngelisFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Michaela E HurleyFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Ethan S VorelWarren Alpert Medical School of Brown University, Providence, Rhode Island.
Richard TuckerFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Nirupa R MatthanCardiovascular Nutrition Laboratory, JM USDA Human Nutrition Research Center, Tufts University, Boston, Massachusetts.
Alice H LichtensteinCardiovascular Nutrition Laboratory, JM USDA Human Nutrition Research Center, Tufts University, Boston, Massachusetts.
Carol A KumamotoDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts.
Joseph M BlissFrom the Department of Pediatrics, Women & Infants Hospital of Rhode Island.
Women & Infants Hospital of Rhode Island · USBrown University · USSiena College · USTufts University · US

Funding

TUFTS CLINICAL AND TRANSLATION SCIENCE INSTITUTE (UL1): BPCAUL1RR025752 · NCRR · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2008 to 2011
$17.6M
Statistics and Data Management P20GM104317 · NIGMS · UNIVERSITY OF RHODE ISLAND · PI MICHELOW, IAN · 2013 to 2017
$9.8M
Training in Education and Critical Research SkillsK12GM074869 · NIGMS · TUFTS UNIVERSITY BOSTON · PI MOORE, CLAIRE L · 2006 to 2017
$8.5M
C ALBICANS IN THE GI TRACT ENVIRONMENTR01AI118898 · NIAID · TUFTS UNIVERSITY BOSTON · PI KUMAMOTO, CAROL A. · 2016 to 2020
$2.5M
Contact sensing and C. albicans-host interactionR01AI081794 · NIAID · TUFTS UNIVERSITY BOSTON · PI KUMAMOTO, CAROL A. · 2010 to 2014
$2.2M
COBRE for Perinatal BiologyP20GM103537 · NIGMS · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PADBURY, JAMES F · 2012 to 2012
$2.1M
Dietary Supplementation of Medium Chain Triglyceride (MCT) Oil to Reduce Candida Colonization in Preterm InfantsR21HD089278 · NICHD · TUFTS UNIVERSITY BOSTON · PI BLISS, JOSEPH MARK, KUMAMOTO, CAROL A. · 2017 to 2018
$461k
NCRR NIH HHS UL1 RR025752NIAID NIH HHS R01 AI081794NIAID NIH HHS R01 AI118898NICHD NIH HHS R21 HD089278NIGMS NIH HHS K12 GM074869NIGMS NIH HHS P20 GM103537NIGMS NIH HHS P20 GM104317
6 · The paper itself

Abstract

backgroundCandida is an important cause of infections in premature infants. Gastrointestinal colonization with Candida is a common site of entry for disseminated disease. The objective of this study was to determine whether a dietary supplement of medium-chain triglycerides (MCTs) reduces Candida colonization in preterm infants.

methodsPreterm infants with Candida colonization (n = 12) receiving enteral feedings of either infant formula (n = 5) or breast milk (n = 7) were randomized to MCT supplementation (n = 8) or no supplementation (n = 4). Daily stool samples were collected to determine fungal burden during a 3-week study period. Infants in the MCT group received supplementation during 1 week of the study period. The primary outcome was fungal burden during the supplementation period as compared with the periods before and after supplementation.

resultsSupplementation of MCT led to a marked increase in MCT intake relative to unsupplemented breast milk or formula as measured by capric acid content. In the treatment group, there was a significant reduction in fungal burden during the supplementation period as compared with the period before supplementation (rate ratio, 0.15; P = 0.02), with a significant increase after supplementation was stopped (rate ratio, 61; P < 0.001). Fungal burden in the control group did not show similar changes.

conclusionsDietary supplementation with MCT may be an effective method to reduce Candida colonization in preterm infants.

Indexed as

Infant, PrematureCandidaCandidiasisCarrier StateColony Count, MicrobialDietFecesFemaleHumansInfantInfant, NewbornMalePilot ProjectsTreatment OutcomeTriglyceridesTriglycerides

Identifiers

PMID29596218
PMCPMC6604858
OpenAlexW2795009075

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.