Evidence map›Paper›PMID 40707136›Full record

Observational studyBMJ paediatrics open2025

Description of probiotic use in preterm infants in England and Wales 2016-2022.

Alice Aveline, Lisa Szatkowski, Janet Berrington, Kate Costeloe, Alex Bottle, Shalini Ojha, Paul Fleming, Cheryl Battersby

Abstract readObservational Study
In one paragraph

Observational study in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. 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

8 authors.

Alice AvelineNeonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK aa2522@ic.ac.uk.ORCID http://orcid.org/0009-0006-3862-3096
Lisa SzatkowskiCentre for Perinatal Research, Lifespan and Population Health, University of Nottingham School of Medicine, Nottingham, UK.ORCID http://orcid.org/0000-0003-3295-5891
Janet BerringtonNewcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Kate CosteloeQueen Mary University of London, London, UK.
Alex BottleDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Shalini OjhaCentre for Perinatal Research, Lifespan and Population Health, School of Medicine, University of Nottingham, Derby, UK.ORCID http://orcid.org/0000-0001-5668-4227
Paul FlemingQueen Mary University of London, London, UK.ORCID http://orcid.org/0000-0001-6027-4212
Cheryl BattersbyNeonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-2898-553X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the use of probiotics among preterm infants in neonatal units and explore factors that influence exposure.

designObservational study using prospectively recorded health data.

settingEngland and Wales. PATIENTS: 48 048 infants born at <32 weeks gestational age (GA) and admitted to a neonatal unit between 1 January 2016 and 31 December 2022.

main outcome measuresMeasures of probiotic use (number and proportion of infants exposed to probiotics, postnatal age of first probiotic exposure and discontinuation).

resultsThe proportion of infants who received probiotics increased from 9% to 54% over the study period. Median GA of infants given probiotics was 29

conclusionsBy 2022, over half of infants born at <32 weeks GA were exposed to probiotics, but almost one quarter did not receive them despite being in a probiotic unit. Our findings help inform the interpretation of observational data and the design of future studies addressing the continued uncertainty around the safety and efficacy of probiotics.

Indexed as

Infant, PrematureProbioticsEnglandFemaleGestational AgeHumansInfant, NewbornIntensive Care Units, NeonatalMaleProspective StudiesWalesEpidemiologyInfantNeonatology

Identifiers

PMID40707136
PMCPMC12306256

What OpenQuestion holds

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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.