Probiotics and Risk of Death, Necrotizing Enterocolitis, and Sepsis in Very Preterm Infants - Takeaways - MDSpire
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Impact of Probiotics on Mortality, Necrotizing Enterocolitis, and Sepsis in Extremely Preterm Infants

  • By

  • Ayoub Mitha

  • Sofia Söderquist Kruth

  • Emma Sinervo

  • Magnus Domellöf

  • Björn Brindefalk

  • Thomas Abrahamsson

  • Stefan Johansson

  • Alexander Rakow

  • September 23, 2026

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  • 1

    Probiotic supplementation is being investigated to reduce necrotizing enterocolitis (NEC) incidence in preterm infants due to intestinal immaturity and dysbiosis.

  • 2

    Certain probiotic strains may lower NEC incidence and all-cause mortality among preterm infants, but findings vary due to differences in study design.

  • 3

    Probiotic use in neonatal units varies globally, influenced by product quality, safety concerns, and clinical practice guidelines.

  • 4

    In 2020, Sweden implemented a national guideline for probiotic supplementation in very preterm infants, based on European recommendations.

  • 5

    The study assessed associations between probiotic supplementation and outcomes like death, NEC, and sepsis using data from the Swedish Neonatal Quality Register.

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