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Arch Dis Child Fetal Neonatal Ed 90:F301-FF306 doi:10.1136/adc.2004.065250
  • Original article

Erythromycin as a prokinetic agent in preterm neonates: a systematic review

Table 6

 Feeding details in studies of erythromycin as a prokinetic agent in preterm neonates

Study Type Method Increments Definition of feed intolerance
*Study presented as abstract,30,31 paper not published yet.
EBM, Expressed breast milk; NG, nasogastric.
Patole et al24 EBM/preterm formula Intragastric 1–2 hourly bolus feeds; prone, head elevation position Maximum 24 ml/kg/day Bile stained gastric residuals, abdominal distension, vomiting
Stenson et al25 EBM Intragastric hourly bolus feeds 1 ml until full feeds Not defined clearly; net enteral balance was assessed: NG feed volume minus the NG aspirate volume
Oei & Lui26 EBM/formula Intragastric 2 hourly bolus feeds ⩽30 ml/kg/day Abdominal distension; repeated large aspirates; gastric residuals >30% of previous 6 hours of feeds
Ng et al27 EBM/preterm formula Intragastric hourly bolus feeds 0.5–1 ml/h/day Vomiting >twice in 24 h; gastric residuals >50% of previous 4 h on two occasions within a day; repeated regurgitations; suspected NEC or aspiration pneumonia
ElHennawy et al29 EBM/preterm formula Intragastric bolus feeds 20 ml/kg/day Severe abdominal distension (>15% of baseline abdominal girth); gastric residuals >25% of fed volume; frank blood in stools
Ng et al28 EBM/preterm milk formula Intragastric bolus feeds; continuous feeds if 50% of bolus feeds not tolerated 2 weeks after starting feeds; prone, head elevated position <10 ml/kg/day during first week <20 ml/kg/day later Vomiting >twice in 24 h; gastric residuals >25% of preceding 4 h on two occasions; repeated regurgitations; suspected NEC or aspiration pneumonia
*Cairns et al30,31 Not available Not available Not available Not available

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