Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

14 questions · 14 findings · 1 reviews · Neonatal

No studies found 0 · 0%GRADE not reported 0 · 0%Very low 6 · 42.9%Low 8 · 57.1%Moderate 0 · 0%High 0 · 0%

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

All‐cause mortality · prevention of sepsis and necrotizing enterocolitis in preterm infants

It is very uncertain whether lactoferrin supplementation with enteral feeds in combination with… changes all‐cause mortality compared with placebo (very low certainty).

1 finding from 1 review

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

Bacterial sepsis · prevention of sepsis and necrotizing enterocolitis in preterm infants

Lactoferrin supplementation with enteral feeds in combination with… may leads to lower bacterial sepsis compared with placebo (low certainty).

1 finding from 1 review

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

Fungal Infection · prevention of sepsis and necrotizing enterocolitis in preterm infants

Lactoferrin supplementation with enteral feeds in combination with… may leads to lower fungal Infection compared with placebo (low certainty).

1 finding from 1 review

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

Chronic lung disease · prevention of sepsis and necrotizing enterocolitis in preterm infants

It is very uncertain whether lactoferrin supplementation with enteral feeds in combination with… changes chronic lung disease compared with placebo (very low certainty).

1 finding from 1 review

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

Any late‐onset sepsis ‐ All infants [Data on only confirmed sepsis available] · prevention of sepsis and necrotizing enterocolitis in preterm infants

Lactoferrin supplementation with enteral feeds in combination with… may leads to lower any late‐onset sepsis ‐ All infants [Data on only confirmed sepsis… compared with placebo (low certainty).

1 finding from 1 review

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

NEC ≥ stage II · prevention of sepsis and necrotizing enterocolitis in preterm infants

It is very uncertain whether lactoferrin supplementation with enteral feeds in combination with… changes NEC ≥ stage II compared with placebo (very low certainty).

1 finding from 1 review

Lactoferrin supplementation vs control

All‐cause Mortality№ of participants: 5510(11 RCTs) · prevention of sepsis and necrotizing enterocolitis in preterm infants

It is very uncertain whether lactoferrin supplementation changes all‐cause Mortality№ of participants: 5510(11 RCTs) compared with control (very low certainty).

1 finding from 1 review

Lactoferrin supplementation vs control

necrotizing enterocolitis№ of participants: 4874(7 RCTs) · prevention of sepsis and necrotizing enterocolitis in preterm infants

Lactoferrin supplementation showed no clear difference in necrotizing enterocolitis№ of participants: 4874(7 RCTs) compared with control (low certainty).

1 finding from 1 review

Lactoferrin supplementation vs control

Any late‐onset sepsis ‐ all infants · prevention of sepsis and necrotizing enterocolitis in preterm infants

Lactoferrin supplementation may leads to lower late onset sepsis№ of participants: 5425(12 RCTs) [Data includes… compared with control (low certainty).

1 finding from 1 review