@article{483f290169eb4e8c845c6fccfb00335a,
title = "Oropharyngeal Administration of Colostrum Increases Salivary Secretory IgA Levels in Very Low-Birth-Weight Infants",
abstract = "Aim Oropharyngeal administration of colostrum (OAC) has been proposed to provide mother's early milk to very low-birth-weight (VLBW) infants in the first few days of life. The aim of this study was to test the hypothesis that OAC would increase salivary secretory IgA (SsIgA). Patients and Methods Overall, 30 VLBW infants randomized to receive OAC or sterile water had salivary sampling for SsIgA on the day of life (DOL) 2, 7, and 14. The incidence of late-onset sepsis (LOS) and necrotizing enterocolitis (NEC) was determined prospectively. Within and between-group comparisons were made by paired and independent samples t -tests. Results Baseline characteristics were similar between groups. SsIgA was higher in OAC versus the control group (p < 0.05) on DOL 7, but not subsequently on DOL 14. There was no difference in LOS or NEC. Conclusion OAC increased SsIgA at DOL 7. A large, multicenter trial is needed to determine if OAC decreases LOS or NEC in VLBW infants.",
author = "Glass, {Kristen M.} and Greecher, {Coleen P.} and Doheny, {Kim K.}",
note = "Funding Information: This study was funded by a Children's Miracle Network Research Grant. Dr. Doheny receives salary support from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health under award number 1R01DK099350. The authors have no conflicts of interest to disclose. We would like to thank Dr. Robert Bonneau and his laboratory in the performance of sample preparation and ELISA analysis and Dr. Fumiyuki Gardner and Ms. Megan Marvin for their help with data collection and statistical analysis. We would also like to thank Barbara Shocker RN MEd IBCLC for her help in subject recruitment as well as the nursing staff at the Penn State Hershey Neonatal Intensive Care Unit for the administration of the study protocol. Funding Information: This study was funded by a Children{\textquoteright}s Miracle Network Research Grant. Dr. Doheny receives salary support from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health under award number 1R01DK099350. The authors have no conflicts of interest to disclose. We would like to thank Dr. Robert Bonneau and his laboratory in the performance of sample preparation and ELISA analysis and Dr. Fumiyuki Gardner and Ms. Megan Marvin for their help with data collection and statistical analysis. We would also like to thank Barbara Shocker RN MEd IBCLC for her help in subject recruitment as well as the nursing staff at the Penn State Hershey Neonatal Intensive Care Unit for the administration of the study protocol.",
year = "2017",
month = dec,
day = "1",
doi = "10.1055/s-0037-1603655",
language = "English (US)",
volume = "34",
pages = "1389--1395",
journal = "American Journal of Perinatology",
issn = "0735-1631",
publisher = "Thieme Medical Publishers, Inc.",
number = "14",
}