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2016 ; 11
(2
): 70-4
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Beyond Necrotizing Enterocolitis Prevention: Improving Outcomes with an Exclusive
Human Milk-Based Diet
#MMPMID26789484
Hair AB
; Peluso AM
; Hawthorne KM
; Perez J
; Smith DP
; Khan JY
; O'Donnell A
; Powers RJ
; Lee ML
; Abrams SA
Breastfeed Med
2016[Mar]; 11
(2
): 70-4
PMID26789484
show ga
OBJECTIVE: The aim of this study was to compare outcomes of infants pre and post
initiation of a feeding protocol providing an exclusive human milk-based diet
(HUM). MATERIALS AND METHODS: In a multicenter retrospective cohort study,
infants with a birth weight <1,250 g who received a bovine-based diet (BOV) of
mother's own milk fortified with bovine fortifier and/or preterm formula were
compared to infants who received a newly introduced HUM feeding protocol. Infants
were excluded if they had major congenital anomalies or died in the first 12
hours of life. Data were collected 2-3 years prior to and after introduction of
an exclusive HUM diet. Primary outcomes were necrotizing enterocolitis (NEC) and
mortality. Secondary outcomes included late-onset sepsis, retinopathy of
prematurity (ROP), and bronchopulmonary dysplasia (BPD). RESULTS: A total of
1,587 infants were included from four centers in Texas, Illinois, Florida, and
California. There were no differences in baseline demographics or growth of
infants. The HUM group had significantly lower incidence of proven NEC (16.7%
versus 6.9%, p < 0.00001), mortality (17.2% versus 13.6%, p = 0.04), late-onset
sepsis (30.3% versus 19.0%, p < 0.00001), ROP (9% versus 5.2%, p = 0.003), and
BPD (56.3% versus 47.7%, p = 0.0015) compared with the BOV group. CONCLUSIONS:
Extremely premature infants who received an exclusive HUM diet had a
significantly lower incidence of NEC and mortality. The HUM group also had a
reduction in late-onset sepsis, BPD, and ROP. This multicenter study further
emphasizes the many benefits of an exclusive HUM diet, and demonstrates multiple
improved outcomes after implementation of such a feeding protocol.
|*Breast Feeding/statistics & numerical data
[MESH]
|*Infant Formula
[MESH]
|*Milk, Human
[MESH]
|Adult
[MESH]
|Animals
[MESH]
|Birth Weight
[MESH]
|Cattle
[MESH]
|Enterocolitis, Necrotizing/epidemiology/*prevention & control
[MESH]
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