Evidence map›Paper›PMID 41533318›Full record

Trial reportIndian pediatrics2026

Lactobacillus rhamnosus GG to Reduce Necrotising Enterocolitis, Sepsis, and Mortality in Very Low Birth Weight Infants: A Randomized Controlled Trial.

Sachin Shah, Amita Kaul, Prerna Pandey, Surabhi Wattal, Rajesh Nare

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Indian pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Sachin ShahDepartment of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child Super Specialty Hospital, Pune Octroi Naka, Sr. No.8, Near Bhujbal Chowk, Wakad Road, Pune, Maharashtra, 411057, India.
Amita KaulDepartment of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child Super Specialty Hospital, Pune Octroi Naka, Sr. No.8, Near Bhujbal Chowk, Wakad Road, Pune, Maharashtra, 411057, India. amitakaul@hotmail.com.ORCID 0000-0002-3563-2038
Prerna PandeyDepartment of Pediatrics, Surya Mother and Child Super Specialty Hospital, Pune, Maharashtra, India.
Surabhi WattalDepartment of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child Super Specialty Hospital, Pune Octroi Naka, Sr. No.8, Near Bhujbal Chowk, Wakad Road, Pune, Maharashtra, 411057, India.
Rajesh NareDepartment of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child Super Specialty Hospital, Pune Octroi Naka, Sr. No.8, Near Bhujbal Chowk, Wakad Road, Pune, Maharashtra, 411057, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the efficacy of oral Lactobacillus rhamnosus GG (LGG) in reducing neonatal enterocolitis (NEC), sepsis and mortality in very low birth weight (VLBW) infants.

methodsThis open-label randomized controlled trial included enterally-fed VLBW infants with gestational age ≤ 32 weeks; those with gastrointestinal anomalies, severe birth asphyxia (APGAR score < 3 at 5 min), cyanotic congenital heart disease, and those not started on feeds by 14 days of life were excluded. Participants were randomized to receive either no probiotic (control) group, or probiotic (LGG; intervention) group. The intervention group received the first dose of LGG (probiotic) at feed initiation and was continued till 35 weeks of corrected gestational age. The control group received only breast milk. Clinical outcomes (mortality, NEC, sepsis) were compared in both groups during hospital stay.

resultsA total of 236 infants were enrolled. The primary composite outcome of sepsis, NEC or mortality was seen in 35 (30.4%) and 33 (27.2%) infants, respectively in the LGG and control groups (RR 0.85; 95%CI 0.48-1.50, P = 0.592). The mean (SD) time to reach full feeds was 11.9 (4.2) and 12.0 (5.5) days in the LGG and control groups, respectively; P = 0.561. The mean (SD) time to regain birth weight was 13.5 (3.9) and 13.6 (3.9) days in the LGG and control groups, respectively (P = 0.982). There was no significant difference in duration of hospital stay, duration of mechanical ventilation, or duration of antimicrobial therapy between the two groups (P > 0.05).

conclusionsUse of LGG as single component probiotic in VLBW infants did not confer any significant benefit on the composite outcome of mortality, sepsis or NEC. TRIAL REGISTRY: Clinical Trial Registry of India; Ref. No. CTRI/2021/03/031724 dated Mar 03, 2021.

Indexed as

Enterocolitis, NecrotizingInfant, Very Low Birth WeightLacticaseibacillus rhamnosusProbioticsSepsisFemaleHumansIndiaInfant, NewbornMaleInfant feedingInfant mortalityLGGMicrobiotaProbioticVLBW

Identifiers

PMID41533318

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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.