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. 2021 Mar 5;17(1):e1141. doi: 10.1002/cl2.1141
Methods A randomized, placebo‐controlled trial conducted in India
Participants Inclusion criteria:
  • (1)

    Neonates born at 27–33 weeks gestation in our hospital

  • (2)

    aged <96 h of life

  • (3)

    who were likely to either remain admitted in hospital or reside within 30 km of the hospital for the next 28 days

  • (4)

    who were tolerating at least 15 ml/kg/day of milk feeds

Exclusion criteria:
  • (1)

    a gastro‐intestinal malformation

  • (2)

    prior NEC or sepsis

  • (3)

    any life‐threatening malformation that limited estimated life expectancy to less than a month

Interventions Intervention group: Probiotic Lactobacillus acidophilus (662.5 million), Lactobacillus rhamnosus (362.5 million), Bifidobacterium longum (87.5 million), and Saccharomyces boulardii (137.5 million)
Four groups
  • A.

    High‐dose long course 1010 cells 12 hourly for 21 days

  • B.

    High‐dose short course 1010 cells 12 hourly for days 1–14; followed by placebo from days 15–21

  • C.

    Low‐dose long course 109 cells 12 hourly for 21 days

  • D.

    Control group: Placebo for 21 days

Outcomes NEC, mortality and sepsis
Notes We combined all the probiotics groups (group A + B + C) to avoid the double counting of the placebo.