Probiotics for preterms: sharing complex decision-making | Nature Reviews Gastroenterology & Hepatology
HomeHome > News > Probiotics for preterms: sharing complex decision-making | Nature Reviews Gastroenterology & Hepatology

Probiotics for preterms: sharing complex decision-making | Nature Reviews Gastroenterology & Hepatology

Nov 04, 2024

Nature Reviews Gastroenterology & Hepatology (2024)Cite this article

Metrics details

Probiotics might prevent some necrotizing enterocolitis, late-onset sepsis and mortality in preterm infants. However, clinical practice varies widely, and families are often excluded from shared decision making. This Clinical Outlook highlights current evidence, clinical practice guidelines and the future outlook of probiotics in the neonatal intensive care unit.

This is a preview of subscription content, access via your institution

Access Nature and 54 other Nature Portfolio journals

Get Nature+, our best-value online-access subscription

$29.99 / 30 days

cancel any time

Subscribe to this journal

Receive 12 print issues and online access

$209.00 per year

only $17.42 per issue

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Morgan, R. L. et al. Probiotics reduce mortality and morbidity in preterm, low-birth-weight infants: a systematic review and network meta-analysis of randomized trials. Gastroenterology 159, 467–480 (2020).

Article CAS PubMed Google Scholar

van den Akker, C. H. P. et al. Probiotics for preterm infants: a strain-specific systematic review and network meta-analysis. J. Pediatr. Gastroenterol. Nutr. 67, 103–122 (2018).

Article PubMed Google Scholar

Sharif, S., Meader, N., Oddie, S. J., Rojas-Reyes, M. X. & McGuire, W. Probiotics to prevent necrotising enterocolitis in very preterm or very low birth weight infants. Cochrane Database Syst. Rev. 7, CD005496 (2023).

PubMed Google Scholar

Su, G. L. et al. AGA clinical practice guidelines on the role of probiotics in the management of gastrointestinal disorders. Gastroenterology 159, 697–705 (2020).

Article CAS PubMed Google Scholar

Szajewska, H. et al. Probiotics for the management of pediatric gastrointestinal disorders: position paper of the ESPGHAN Special Interest Group on Gut Microbiota and Modifications. J. Pediatr. Gastroenterol. Nutr. 76, 232–247 (2023).

Article PubMed Google Scholar

Care of Preterm or Low Birthweight Infants Group. New World Health Organization recommendations for care of preterm or low birth weight infants: health policy. eClinicalMedicine 63, 102155 (2023).

Poindexter, B. et al. Use of probiotics in preterm infants. Pediatrics 147, e2021051485 (2021).

Article PubMed Google Scholar

Shane, A. L. & Preidis, G. A. Probiotics in the neonatal intensive care unit–a framework for optimizing product standards. JAMA Pediatr 177, 879–880 (2023).

Article PubMed Google Scholar

Kulkarni, T. et al. Probiotic sepsis in preterm neonates—a systematic review. Eur. J. Pediatr. 181, 2249–2262 (2022).

Article PubMed Google Scholar

Beck, L. C. et al. Strain-specific impacts of probiotics are a significant driver of gut microbiome development in very preterm infants. Nat. Microbiol. 7, 1525–1535 (2022).

Article CAS PubMed PubMed Central Google Scholar

Download references

Division of Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

Geoffrey A. Preidis

Newcastle Neonatal Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK

Janet E. Berrington

Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK

Janet E. Berrington

You can also search for this author in PubMed Google Scholar

You can also search for this author in PubMed Google Scholar

Correspondence to Geoffrey A. Preidis.

G.A.P. and J.E.B. received travel and lodging support to attend the International Scientific Association for Probiotics and Prebiotics international meeting in Cork, Ireland 9–12 July 2024, where the idea for this manuscript was conceived and developed from discussions during the meeting. G.A.P. serves as an unpaid member of the ISAPP board of directors.

Reprints and permissions

Preidis, G.A., Berrington, J.E. Probiotics for preterms: sharing complex decision-making. Nat Rev Gastroenterol Hepatol (2024). https://doi.org/10.1038/s41575-024-01009-9

Download citation

Published: 04 November 2024

DOI: https://doi.org/10.1038/s41575-024-01009-9

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative