Probiotic Supplementation in the Neonatal Age Group and the Risk of Hospitalisation in the First Two Years: A Data

Ravisha Srinivasjois1,2,3, Amanuel Gebremedhin1,4, Desiree Silva2,3

  • 1Curtin School of Population Health, Curtin University, Perth, WA 6102, Australia.

Nutrients
|July 13, 2024
PubMed

Insights

Probiotic supplementation for preterm infants reduced hospitalizations by 8% within two years. This study highlights the long-term benefits of probiotics for very premature babies after neonatal care.

Area of Science:

  • Neonatal Medicine
  • Pediatric Gastroenterology
  • Infectious Disease Prevention

Background:

  • Probiotic supplementation is common for preterm neonates globally.
  • Previous research has not detailed the long-term impact of neonatal probiotics on infant hospitalization risks.

Purpose of the Study:

  • To investigate the effect of probiotic supplementation in preterm neonates on subsequent hospitalization rates.
  • To analyze hospitalization risks for respiratory and gastrointestinal infections up to two years post-discharge.

Main Methods:

  • Retrospective cohort study of preterm infants born before 32 weeks gestation in Western Australia.
  • Comparison of hospitalization data before (Epoch 1) and after (Epoch 2) the implementation of probiotic supplementation.
  • Subgroup analysis for infants born before 28 weeks gestation.

Main Results:

  • An 8% reduction in hospitalizations up to two years post-birth was observed after probiotic implementation (adjusted IRR 0.92; 95% CI 0.87-0.98).
  • Adjustments were made for gestational age, smoking, socioeconomic status, and maternal age.
  • Hospitalization rates for extremely preterm infants (<28 weeks) remained comparable between the two epochs.

Conclusions:

  • Neonatal probiotic exposure is associated with a decreased risk of hospitalization in the first two years after neonatal unit discharge.
  • Probiotics may offer a protective effect against common infant infections requiring hospitalization.
  • Further research could explore specific probiotic strains and optimal timing for administration.
Abstract

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