Location of study
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Australia
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Colombia
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USA
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Australia
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USA
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Participants - inclusion criteria
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<32 weeks gestation, <1500 g birth weight, 1–3 days old
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Birth weight <2000 grams, < 48 hours of age, admission in NICU, Hemodynamic-ally stable
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Extremely Low Birth weight infants: < 1000 grams, 1 to 14 old, intention to start enteral feeds
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32 weeks Gestation and 6 days, <1500g birth weight, ready to commence on enteral feeds for up to 12 hours
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< 500grams birth weight, age less than 33 weeks gestation, exclusively formula fed
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Probiotic bacteria used
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Bifidobacteriuminfantis, BifidobacteriumBifidus, Streptococcus thermophilus
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Lactobacillus reuteri DSM 17938
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Lactobacillus rhamnosus GG, Bifidobacteriuminfantis
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Lactobacillus acidophilus 375 million, bifidobacteriumbifidum, bifidobacteria longus
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1. ProlactPlus
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2. GOS
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3. Bifidobacteriuminfantis
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4. Bifidobacteriumanimalis
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Dose
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1X109
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1X108 CFU in 5 drops of oil suspension 1/ day until discharge.
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L rhamnosus: 500 million cfu, B.infantis: 500 million cfu
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L. acidophilus:375 m organisms, B bifidum, B. longus: 125 million organisms
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1. week 1 95:5 to week 5 75:25
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2. week: 0.25g/dL, to week 5: 2.0 g/dL
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3. week 1: 5X107, to week 5: 4.2 X109
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4. week 1: 5X107, to week 5: 4.2 X109
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Start date of study
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July- 2007
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August 2008
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February 2008
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June 2009
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June 2009
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Reported Outcomes
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Sepsis,
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Sepsis
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Average weight gain
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Sepsis
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Fecal microflora
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NEC
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NEC
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Growth velocity
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NEC
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Death
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Death
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Feed tolerance
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All-cause mortality
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Frequency of events
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Volume of feed/day
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Time to reach full feeds (150 mls/kg/day)
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Length of hospital admission
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Gut colonisation by probiotic
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Number of antibiotic courses
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Days to full enteral feeds |
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