Evidence map›Paper›PMID 30424728›Full record

Trial reportBMC microbiology2018

Gut microbiota of preterm infants supplemented with probiotics: sub-study of the ProPrems trial.

Erica L Plummer, Dieter M Bulach, Gerald L Murray, Susan E Jacobs, Sepehr N Tabrizi, Suzanne M Garland, ProPrems Study Group

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Probiotics in infants for prevention of allergic disease.The Cochrane database of systematic reviews · 2025
    Pooled it
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  4. Pooled it
  5. Trial
  6. Effects ofCell reports. Medicine · 2021
    Trial
  7. Review
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  9. Article
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  13. Review
  14. Effect ofFrontiers in nutrition · 2025
    Article
  15. Impact ofNutrients · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Determinants of microbial colonization in the premature gut.Molecular medicine (Cambridge, Mass.) · 2023
    Review
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

7 authors at 2 institutions in 1 country.

Erica L PlummerThe Royal Women's Hospital, Parkville, VIC, 3052, Australia. erica.plummer@mcri.edu.au.ORCID 0000-0001-5710-2671
Dieter M BulachInfection and Immunity Program, Monash Biomedicine Discovery Institute and Department of Microbiology, Monash University, Clayton, VIC, 3800, Australia.
Gerald L MurrayThe Royal Women's Hospital, Parkville, VIC, 3052, Australia.
Susan E JacobsThe Royal Women's Hospital, Parkville, VIC, 3052, Australia.
Sepehr N TabriziThe Royal Women's Hospital, Parkville, VIC, 3052, Australia.
Suzanne M GarlandThe Royal Women's Hospital, Parkville, VIC, 3052, Australia.
ProPrems Study Group
Royal Children's Hospital · AURoyal Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ProPrems trial, a multi-center, double-blind, placebo-controlled randomized trial, previously reported a 54% reduction in necrotizing enterocolitis (NEC) of Bell stage 2 or more from 4.4 to 2.0% in 1099 infants born before 32 completed weeks' gestation and weighing < 1500 g, receiving probiotic supplementation (with Bifidobacterium longum subsp. infantis BB-02, Streptococcus thermophilus TH-4 and Bifidobacterium animalis subsp. lactis BB-12). This sub-study investigated the effect of probiotic supplementation on the gut microbiota in a cohort of very preterm infants in ProPrems.

resultsBifidobacterium was found in higher abundance in infants who received the probiotics (AOR 17.22; 95% CI, 3.49-84.99, p < 0.001) as compared to the placebo group, and Enterococcus was reduced in infants receiving the probiotic during the supplementation period (AOR 0.27; 95% CI, 0.09-0.82, p = 0.02).

conclusionProbiotic supplementation with BB-02, TH-4 and BB-12 from soon after birth increased the abundance of Bifidobacterium in the gut microbiota of very preterm infants. Increased abundance of Bifidobacterium soon after birth may be associated with reducing the risk of NEC in very preterm infants.

Indexed as

Gastrointestinal MicrobiomeBifidobacteriumCohort StudiesDietary SupplementsDouble-Blind MethodEnterocolitis, NecrotizingFemaleHumansInfantInfant, Extremely PrematureInfant, NewbornMaleProbioticsStreptococcus thermophilusGut microbiotaNecrotizing enterocolitisProbioticsVery preterm infants

Identifiers

PMID30424728
PMCPMC6234596
OpenAlexW2901738897

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.