The efficacy and safety of early supplementation of iron polymaltose complex in preterm infants.
The purpose of this study was to examine the efficacy and safety of early nonionic iron supplementation in preterm infants. Infants with gestational age < or = 32 weeks who were fed enriched human milk were assigned concurrently to receive 5 mg/kg/d enteral iron polymaltose complex (IPC) at 2 or 4 weeks of age. The levels of hemoglobin, reticulocytes, serum iron, ferritin, and soluble transferrin receptor were recorded at 2, 4, and 8 weeks of age. The incidence of morbidities associated with prematurity and the need for red blood cell transfusions (RBCTs) were recorded. The 2-week group (n = 32) had a better iron status than the 4-week group (n = 36) at 4 weeks and at 8 weeks of age. The incidence of morbidities associated with prematurity was not different among the groups ( P = 0.26). RBCT was required in one infants of the 2-week group and in 10 infants in the 4-week group ( P = 0.045). The number needed to treat to prevent one RBCT was five. Supplementation of 5 mg/kg/d enteral IPC to preterm infants fed enriched human milk as early as 2 weeks of age was more beneficial to iron status than at 4 weeks of age, and was associated with decreased need for RBCTs and no increase in the incidence of morbidities associated with prematurity.
Arnon
Shmuel
S
Department of Neonatology, Meir Medical Center, Kfar Saba, Israel.
Shiff
Yakov
Y
Litmanovitz
Ita
I
Regev
Rivka H
RH
Bauer
Sofia
S
Shainkin-Kestenbaum
Ruth
R
Bental
Yoram
Y
Dolfin
Tzipora
T
D019587:Dietary Supplements; D017707:Erythrocyte Transfusion; D005260:Female; D005290:Ferric Compounds / Q000008:administration & dosage*; D006023:Glycoproteins / Q000008:administration & dosage*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D036341:Intercellular Signaling Peptides and Proteins; D008297:Male; D011446:Prospective Studies
D005290:Ferric Compounds; D006023:Glycoproteins; D036341:Intercellular Signaling Peptides and Proteins; C028196:polysaccharide-protein complex, Candida; C013276:teferrol