Comparison of Lactobacillus Reuteri and Nystatin Prophylaxis on Candida Colonization and Infection in Very Low Birth Weight Infants

July 13, 2013 updated by: Mehmet Yekta, Zekai Tahir Burak Women's Health Research and Education Hospital

Zekai Tahir Burak Maternity Teaching Hospital, Ankara/Turkey

Probiotics are favorable microorganisms that regulate the flora of the gastrointestinal system and stimulate the immune system. Lactobacillus reuteri was shown to reduce candida colonization. The objective of this study is to evaluate the efficacy of prophylactic Lactobacillus reuteri in reducing the candida colonization and infection in very low birth weight infants.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

300

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Ankara, Turkey, 06110
        • Zekai Tahir Burak Maternity Teaching Hospital, Division of Neonatology

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 day to 6 months (CHILD)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Very low birth weight infants < 1500 gr
  • Gestational age < 32 weeks

Exclusion Criteria:

  • Genetic anomalies
  • Short bowel syndrome
  • Not willing to participate
  • Allergy to Lactobacillus reuteri components

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: PREVENTION
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Lactobacillus reuteri
Lactobacillus reuteri 100 million CFU/day for 3 months
Dietary supplement: Lactobacillus reuteri
Lactobacillus reuteri 100 million CFU/day for 3 months
Other Names:
  • BioGaia
Active Comparator: Nystatin
50000 unit/3 times a day
Drug: Nystatin
50000 unit/3 times a day, both for orally and by orogastric route
Other Names:
  • Mikostatin

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparison of prophylactic Lactobacillus reuteri and nystatin on candida colonization and infection in very low birth weight infants
Time Frame: up to 6 months
Rectal and skin swabs for Candida colonization will be taken weekly. Blood culture for Candida infection will be taken weekly.
up to 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Effect of Lactobacillus reuteri on necrotizing enterocolitis in VLBW infants
Time Frame: up to 6 months
NEC diagnosis will make modified Bell's criteria. Grade 1A will not include in NEC group.
up to 6 months
Effect of Lactobacillus reuteri on feeding intolerance
Time Frame: up to 6 months
Feeding intolerance (gastric residuals in the amount that was more than half of the previous feeding, abdominal distention or heme-positive stools)
up to 6 months
Effect of Lactobacillus reuteri on sepsis
Time Frame: up to 6 months
Patients with culture positivity will accept as proven sepsis.
up to 6 months
Effect of Lactobacillus reuteri on length of hospital stay
Time Frame: up to 6 months
Specified length of hospital stay as days.
up to 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Zekai Tahir Burak Women's Health Research and Education Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2012

Primary Completion (Actual)

April 1, 2013

Study Completion (Actual)

April 1, 2013

Study Registration Dates

First Submitted

February 4, 2012

First Submitted That Met QC Criteria

February 9, 2012

First Posted (Estimate)

February 10, 2012

Study Record Updates

Last Update Posted (Estimate)

July 16, 2013

Last Update Submitted That Met QC Criteria

July 13, 2013

Last Verified

February 1, 2012

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ZTB630301

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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