Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants

Background Functional immaturity of gastrointestinal (GI) motility predisposes preterm infants to feeding intolerance. Erythromycin as a prokinetic agent has been given to preterm infants for the management of non-obstructive GI dysmotility. Objective To evaluate the efficacy of oral erythromycin fo...

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Main Authors: Armelia Moesri, Bugis Mardina Lubis, Asrul Asrul, Atan Baas Sinuhaji, Guslihan Dasa Tjipta
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2007-10-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/421
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author Armelia Moesri
Bugis Mardina Lubis
Asrul Asrul
Atan Baas Sinuhaji
Guslihan Dasa Tjipta
author_facet Armelia Moesri
Bugis Mardina Lubis
Asrul Asrul
Atan Baas Sinuhaji
Guslihan Dasa Tjipta
author_sort Armelia Moesri
collection DOAJ
description Background Functional immaturity of gastrointestinal (GI) motility predisposes preterm infants to feeding intolerance. Erythromycin as a prokinetic agent has been given to preterm infants for the management of non-obstructive GI dysmotility. Objective To evaluate the efficacy of oral erythromycin for the treatment of GI dysmotility in preterm infants. Methods A randomized controlled clinical trial was done at Adam Malik Hospital and Pirngadi Hospital, Medan, between October 2004 – March 2005. Fifty preterm infants with feeding intolerance were randomly assigned to either receive oral erythromycin (12.5 mg/kg, every 6 hours) or placebo for 7 days. Improved tolerance for enteral feedings was evaluated by the amount of gastric residue before feeding. Results On the sixth day, there was a significant difference in the amount of residue from gastric residue between the oral erythromycin group and placebo group (mean 21.7 and 29.4; P<0.05) and so were results on the seventh day (mean 14.1 and 26.9; P<0.05). Conclusion Oral erythromycin reduces the amount of gastric residue before feed in premature infants.
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spelling doaj.art-da5b11d2451d40068e674cd960f721fe2022-12-22T01:25:31ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2007-10-01475234710.14238/pi47.5.2007.234-7312Oral erythromycin for treatment of gastrointestinal dysmotility in premature infantsArmelia MoesriBugis Mardina LubisAsrul AsrulAtan Baas SinuhajiGuslihan Dasa TjiptaBackground Functional immaturity of gastrointestinal (GI) motility predisposes preterm infants to feeding intolerance. Erythromycin as a prokinetic agent has been given to preterm infants for the management of non-obstructive GI dysmotility. Objective To evaluate the efficacy of oral erythromycin for the treatment of GI dysmotility in preterm infants. Methods A randomized controlled clinical trial was done at Adam Malik Hospital and Pirngadi Hospital, Medan, between October 2004 – March 2005. Fifty preterm infants with feeding intolerance were randomly assigned to either receive oral erythromycin (12.5 mg/kg, every 6 hours) or placebo for 7 days. Improved tolerance for enteral feedings was evaluated by the amount of gastric residue before feeding. Results On the sixth day, there was a significant difference in the amount of residue from gastric residue between the oral erythromycin group and placebo group (mean 21.7 and 29.4; P<0.05) and so were results on the seventh day (mean 14.1 and 26.9; P<0.05). Conclusion Oral erythromycin reduces the amount of gastric residue before feed in premature infants.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/421erythromycingastrointestinal dysmotilitypreterm infants
spellingShingle Armelia Moesri
Bugis Mardina Lubis
Asrul Asrul
Atan Baas Sinuhaji
Guslihan Dasa Tjipta
Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
Paediatrica Indonesiana
erythromycin
gastrointestinal dysmotility
preterm infants
title Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
title_full Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
title_fullStr Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
title_full_unstemmed Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
title_short Oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
title_sort oral erythromycin for treatment of gastrointestinal dysmotility in premature infants
topic erythromycin
gastrointestinal dysmotility
preterm infants
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/421
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AT asrulasrul oralerythromycinfortreatmentofgastrointestinaldysmotilityinprematureinfants
AT atanbaassinuhaji oralerythromycinfortreatmentofgastrointestinaldysmotilityinprematureinfants
AT guslihandasatjipta oralerythromycinfortreatmentofgastrointestinaldysmotilityinprematureinfants