title: Probiotic supplementation for preventing invasive fungal infections in preterm neonates--a systematic review and meta-analysis.
abstract: Invasive fungal infections (IFI) are associated with significant health burden in preterm neonates. The objective of this study was to systematically review effect of probiotic supplementation (PS) for preventing IFI in preterm neonates. We searched Cochrane Central Register of Controlled Trials, Medline, Embase, Cumulative Index of Nursing and Allied Health Literature, and proceedings of the Pediatric Academic Society meetings in August 2014. Study selection was performed on randomised controlled trials (RCT) of PS in neonates born <37 weeks. Primary outcome of this study was IFI (Isolation of fungus in blood/body fluids) and secondary outcome was fungal gut colonisation. Information on IFI/colonisation was available in 8 of 27 RCT. Meta-analysis (fixed effects model) showed that PS reduced the risk of IFI (RR: 0.50, 95% CI: 0.34, 0.73, I(2) = 39%). Results were not significant with random effects model (RR: 0.64, 95%, CI: 0.30, 1.38, P = 0.25, I(2) = 39%). Analysis after excluding the study with a high baseline incidence (75%) of IFI showed that PS had no significant benefits (RR: 0.89; 95% CI: 0.44, 1.78). Of the five studies reporting on fungal gut colonisation, three reported benefits of probiotics; two did not. Current evidence is limited to derive firm conclusions on the effect of PS for preventing IFI/gut colonisation in preterm neonates.
authors.affiliation: Department of Neonatal Paediatrics, KEM Hospital, Perth, WA, Australia.|Department of Neonatal Paediatrics, Princess Margaret Hospital for Children, Perth, WA, Australia.|Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, WA, Australia.
authors.forename: Sachin
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Department of Neonatal Paediatrics, KEM Hospital, Perth, WA, Australia.|Department of Neonatal Paediatrics, Princess Margaret Hospital for Children, Perth, WA, Australia.|Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, WA, Australia.
authors.forename: Shripada
authors.initials: S
authors.lastname: Rao
authors.affiliation: Department of Neonatal Paediatrics, KEM Hospital, Perth, WA, Australia.|Department of Neonatal Paediatrics, Princess Margaret Hospital for Children, Perth, WA, Australia.|Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, WA, Australia.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Patole
mesh_terms: D019587:Dietary Supplements; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000382:microbiology* / Q000517:prevention & control*; D019102:Infant, Very Low Birth Weight; D009181:Mycoses / Q000382:microbiology* / Q000517:prevention & control*; D019936:Probiotics / Q000627:therapeutic use*; D016032:Randomized Controlled Trials as Topic
keywords: Infants; neonates; preterm; probiotic supplementation; review