Evidence map›Paper›PMID 36014810›Full record

Trial reportNutrients2022

Effect of a Multi-Strain Probiotic on the Incidence and Severity of Necrotizing Enterocolitis and Feeding Intolerances in Preterm Neonates.

Marwyn Sowden, Mirjam Maria van Weissenbruch, Andre Nyandwe Hamama Bulabula, Lizelle van Wyk, Jos Twisk, Evette van Niekerk

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.7field-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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Early supplementation with live combinedFrontiers in cellular and infection microbiology · 2026
    Observational
  9. Review
  10. Review
  11. Necrotizing Enterocolitis: What's New and What's Next?International journal of molecular sciences · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Contemporary use of prophylactic probiotics in NICUs in the United States: a survey update.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  18. Article
  19. Article
  20. 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

6 authors at 5 institutions in 2 countries.

Marwyn SowdenDepartment of Global Health, Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7505, South Africa.
Mirjam Maria van WeissenbruchAmsterdam UMC, Department of Pediatrics-Neonatology, VU University Medical Center, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0002-8086-9552
Andre Nyandwe Hamama BulabulaInfection Control Africa Network-ICAN, Cape Town 7530, South Africa.
Lizelle van WykDepartment of Paediatrics and Child Health, Stellenbosch University, Cape Town 7505, South Africa.
Jos TwiskDepartment of Epidemiology and Data Science, Amsterdam UMC, 1081 HV Amsterdam, The Netherlands.
Evette van NiekerkDepartment of Global Health, Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7505, South Africa.ORCID 0000-0003-3960-7320
Western Cape Department of Health · ZAAmsterdam UMC Location Vrije Universiteit Amsterdam · NLAmsterdam University Medical Centers · NLInfection Control Africa Network · ZAStellenbosch University · ZA

Funding

Harry Crossley Foundation NASouth African Medical Research Council NAVU University of Amsterdam NA
6 · The paper itself

Abstract

Background: Necrotizing enterocolitis (NEC) is a multifactorial disease, causing inflammation of the bowel. The exact root of NEC is still unknown, but a low weight and gestational age at birth are known causes. Furthermore, antibiotic use and abnormal bacterial colonization of the premature gut are possible causes. Premature neonates often experience feeding intolerances that disrupts the nutritional intake, leading to poor growth and neurodevelopmental impairment. Methods: We conducted a double-blind, placebo-controlled, randomized clinical trial to investigate the effect of a multi-strain probiotic formulation (LabinicTM) on the incidence and severity of NEC and feeding intolerances in preterm neonates. Results: There were five neonates in the placebo group who developed NEC (Stage 1A−3B), compared to no neonates in the probiotic group. Further, the use of probiotics showed a statistically significant reduction in the development of feeding intolerances, p < 0.001. Conclusion: A multi-strain probiotic is a safe and cost-effective way of preventing NEC and feeding intolerances in premature neonates.

Indexed as

Enterocolitis, NecrotizingFetal DiseasesInfant, Newborn, DiseasesProbioticsFemaleHumansIncidenceInfant, NewbornInfant, PrematureInfant, Very Low Birth Weightfeeding intolerancenecrotizing enterocolitisneonateprobiotic

Identifiers

PMID36014810
PMCPMC9415863
OpenAlexW4291891433

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.