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The role of a multi-strain probiotic in very low birth weight premature infants

Thesis (PhD)--Stellenbosch University, 2024.

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Bibliographic Details
Main Author: Sowden, Marwyn
Other Authors: Van Niekerk, Evette
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2024
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access_status_str Open Access
author Sowden, Marwyn
author2 Van Niekerk, Evette
author_browse Sowden, Marwyn
Van Niekerk, Evette
author_facet Van Niekerk, Evette
Sowden, Marwyn
author_sort Sowden, Marwyn
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (PhD)--Stellenbosch University, 2024.
format Thesis
id oai:scholar.sun.ac.za:10019.1/130599
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:46:33.531Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/130599 The role of a multi-strain probiotic in very low birth weight premature infants Sowden, Marwyn Van Niekerk, Evette Van Weissenbruch, Mirjam Bulabula, Andy Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Human Nutrition. Gastrointestinal system -- Diseases Intestines -- Microbiology Premature infants -- Development Neonatal intensive care UCTD Thesis (PhD)--Stellenbosch University, 2024. ENGLISH SUMMARY: Background: Researchers have established that the preterm neonate is born with an immature gastrointestinal tract. The preterm neonate is thus susceptible to various complications often seen in the neonatal intensive care unit, e.g. feeding intolerances, necrotising enterocolitis, and hospital-acquired bloodstream infections. These complications can be life-threatening, and if survived, can have an unfavorable effect on the neonate’s growth and development. Aim: The aims of this narrative review article were to provide an in-depth understanding of the various factors contributing to the development of the preterm neonatal microbiome. Further, we reviewed gastrointestinal microbiome dysbiosis and its potential role in the development of feeding intolerances, necotising enterocolitis, and hospital-acquired bloodstream infections. Lastly, we described the potential role of probiotics in this vulnerable population. Methods: A PubMed database search was conducted identifying articles that describe the development and function of the neonatal microbiome, the role of gastrointestinal dysbiosis, and the development of neonatal complications as well as the role of probiotics in gastrointestinal dysbiosis. Results: Various maternal, neonatal, and environmental factors play a role in the development of gastrointestinal dysbiosis in the preterm neonate. This can lead to feeding intolerances, necrotising enterocolitis, and hospital-acquired bloodstream infections. Discussion: The pathogenesis of the development of short-term complications in the preterm neonate can be linked to the immaturity of the host immune system as well as alterations seen in the intestinal microbiome. There is a growing body of evidence that probiotics can play a role in preventing dysbiosis and thus complications observed in the preterm neonate. However, the optimal combination of probiotic strains and dosage still needs to be identified. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Doctorate 2024-01-15T09:27:26Z 2024-04-26T23:28:40Z 2024-01-15T09:27:26Z 2024-04-26T23:28:40Z 2024-03 Thesis https://scholar.sun.ac.za/handle/10019.1/130599 en_ZA Stellenbosch University 144 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Gastrointestinal system -- Diseases
Intestines -- Microbiology
Premature infants -- Development
Neonatal intensive care
UCTD
Sowden, Marwyn
The role of a multi-strain probiotic in very low birth weight premature infants
title The role of a multi-strain probiotic in very low birth weight premature infants
title_full The role of a multi-strain probiotic in very low birth weight premature infants
title_fullStr The role of a multi-strain probiotic in very low birth weight premature infants
title_full_unstemmed The role of a multi-strain probiotic in very low birth weight premature infants
title_short The role of a multi-strain probiotic in very low birth weight premature infants
title_sort role of a multi strain probiotic in very low birth weight premature infants
topic Gastrointestinal system -- Diseases
Intestines -- Microbiology
Premature infants -- Development
Neonatal intensive care
UCTD
url https://scholar.sun.ac.za/handle/10019.1/130599
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