Influence of erythromycin on establishment of feeding in preterm infants: observations from a randomised controlled trial
- PMID: 10194995
- PMCID: PMC1720861
- DOI: 10.1136/fn.79.3.f212
Influence of erythromycin on establishment of feeding in preterm infants: observations from a randomised controlled trial
Abstract
Aim: To determine the effect of erythromycin on the establishment of enteral feeding in ventilated infants < 31 weeks gestation.
Methods: Erythromycin was randomly allocated as an antimicrobial treatment for the first 7 days of life in 76 infants: 35 received erythromycin and 41 acted as controls. Feed toleration, time taken to establish full enteral feeding, vomiting, prescription of glycerine suppositories and occurrence of necrotising enterocolitis were recorded.
Results: There were no significant differences between the groups for any of the outcomes. The infants treated with erythromycin reached full feeding at a median (quartile) age of 8 (5-12) days compared with 9 (6-14) days for controls.
Conclusions: Intravenous erythromycin in antimicrobial doses is unlikely to benefit the introduction of feeding in preterm infants.
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