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Updated: May 23, 2026

Microfluidic Model of Necrotizing Enterocolitis Incorporating Human Neonatal Intestinal Enteroids and a Dysbiotic Microbiome
Published on: July 28, 2023
Necrotizing enterocolitis risk: state of the science
Sheila M Gephart1, Jacqueline M McGrath, Judith A Effken
1College of Nursing, University of Arizona, Tucson, 85721, USA. sgephart@nursing.arizona.edu
Necrotizing enterocolitis (NEC) is a critical condition affecting premature infants in the NICU. Understanding NEC risk factors and implementing preventive strategies like human milk feeding can significantly reduce its incidence.
Area of Science:
- Neonatal intensive care
- Gastrointestinal diseases
- Pediatric surgery
Background:
- Necrotizing enterocolitis (NEC) is a leading cause of death and illness in neonatal intensive care units (NICUs).
- Premature infants are most susceptible to NEC, a condition that incurs substantial healthcare costs.
- Surgical NEC survivors face prolonged NICU stays, impacting long-term outcomes.
Purpose of the Study:
- To review current scientific knowledge on NEC risk factors.
- To provide evidence-based recommendations for clinical practice and future research.
Main Methods:
- Literature review of scientific studies on NEC.
- Analysis of identified risk factors and preventive measures.
Main Results:
- Prematurity and formula feeding are consistent independent predictors of NEC.
- Combined risk factors can increase NEC incidence.
- Human milk feeding, feeding guidelines, and probiotics are effective in reducing NEC.
Conclusions:
- Awareness and management of NEC risk factors are crucial.
- Implementing preventive strategies can decrease NEC rates in vulnerable infants.
- Further research is needed to refine NEC prevention and treatment protocols.
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