Skip to main content
. 2020 Oct 15;2020(10):CD005496. doi: 10.1002/14651858.CD005496.pub5

Manzoni 2009.

Study characteristics
Methods RCT
Participants 485 VLBW infants
Interventions Probiotics (N = 238): Lactoacillus casei subspecies rhamnosus with human milk or formula until 4 (VLBW) or 6 (ELBW) weeks plus bovine lactoferrin (100 mg/day)
Control (N = 247): bovine lactoferrin alone
(All doses including placebo were diluted in prepared milk so as to maintain masking)
Outcomes
  • NEC

  • Death

  • Infection

Notes Italy (11 centres: 2007 to 2008)
Funding: Dicofarm SpA (manufacturer of intervention)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated
Allocation concealment (selection bias) Low risk Pharmacy allocation (remote)
Blinding (performance bias and detection bias)
All outcomes Low risk Masked
Incomplete outcome data (attrition bias)
All outcomes Low risk Complete
Selective reporting (reporting bias) Unclear risk Data for invasive infection in complete cohort not reported in primary publication (available to derive from later publications)