A Single Blinded Study on the Effect of Saccharomyces Boulardii CNCM I-745 on Growth and Development in Preterm Infants
A Single Blinded Study on the Effect of Saccharomyces Boulardii CNCM I-745 on Growth and Development in Preterm Infants
Immature gastrointestinal functions increase the risk of poor growth as well as nosocomial
 infections and necrotizing enterocolitis (NEC) in the preterm infant. The effects of
 probiotics on growth and development in premature infants have been investigated poorly.
 Saccharomyces boulardii CNCM I-745 (S. boulardii) is a non-pathogenic probiotic yeast.

 Prophylactic supplementation of S. boulardii at a dose of 50 mg/kg twice a day appeared to
 bring preterm infants weight gain closer to that of intra-uterine growth rate, reduce feeding
 intolerance, and had no adverse effects.
The objective of this study is to evaluate if feeding supplemented with S. boulardii can
 improve growth and clinical outcomes in preterm and low birth weight infants.

 A prospective, randomized case-controlled trial was conducted in infants with a gestational
 age of 30 to 37 weeks and a birth weight between 1500 to 2500 g. The study group received S.
 boulardii supplementation, 50 mg/kg twice daily, compared to no intervention in the control
 group. The primary outcomes were short term growth parameters including weight gain, linear
 growth, head and chest circumference, and secondary outcomes were clinical outcomes, feeding
 intolerance and complications.

 A total of 125 infants were enrolled in the study, 63 in the treatment and 62 in the control
 group. S. boulardii was administered for the first time at 2.63 days after birth (1 day to 6
 days, 46 within 3 days, only 5 between 4 and 6 days).
Inclusion Criteria:

 -  The inclusion criteria were hospital born infants with a gestational age of 30 to 37
 weeks and a birth weight between 1500 to 2500 g.

 Exclusion Criteria:

 -  Exclusion criteria were severe neonatal pathology such as birth complications, GI
 malformations, chromosomal abnormalities, known immunodeficiency, hydrops foetalis, a
 central venous catheter and the use of antifungal drugs or probiotics.