#453 - [Journal Club] - 📌 What Happened to NEC When Centers Stopped Using Probiotics?

#453 - [Journal Club] - 📌 What Happened to NEC When Centers Stopped Using Probiotics?

July 16, 2026 · 17 min · Season 5 · Episode 142

About this episode

The episode discusses the impact of the FDA warning on probiotic use in NICUs and its correlation with NEC rates among preterm infants.

Send us Fan Mail When the FDA warning landed in late 2023, probiotic use in high-use NICUs collapsed from 86% to under 7% almost overnight. What happened to NEC? This week Daphna brings Tolia and Patel's new Journal of Perinatology analysis of the Pediatrix Clinical Data Warehouse, a natural experiment across 347 NICUs and more than 10,000 extremely preterm infants. Centers that stopped saw NEC climb from 2.7% to 4.4%. Centers that never used probiotics saw nothing change. Ben and Daphna work...

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