Document Detail


Oropharyngeal administration of colostrum to extremely low birth weight infants: theoretical perspectives.
MedLine Citation:
PMID:  18769379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Studies in adults have shown that the oropharyngeal route can be used to effectively and safely administer interferon-alpha, an immune cell-derived cytokine, to patients who are unable to tolerate its parenteral administration. The mechanism for this appears to be the stimulatory effects of the cytokine, on the oropharyngeal-associated lymphoid tissue system. Own mother's colostrum (OMC) is rich in cytokines and other immune agents that provide bacteriostatic, bacteriocidal, antiviral, anti-inflammatory and immunomodulatory protection against infection. OMC may be especially protective for the extremely low birth weight (ELBW) infant in the first days of life; however clinical instability typically precludes enteral feedings during this period. Oropharyngeal administration is a potential alternative method of providing OMC. Oropharyngeal administration of OMC may have immunomodulatory effects on the recipient infant, and would be especially beneficial to the ELBW infant who would otherwise remain nil per os during the first days of life.
Authors:
N A Rodriguez; P P Meier; M W Groer; J M Zeller
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review     Date:  2008-09-04
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  29     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-29     Completed Date:  2009-04-23     Revised Date:  2011-04-15    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-7     Citation Subset:  IM    
Affiliation:
Infant Special Care Unit, Department of Pediatrics, Evanston Hospital, Evanston Northwestern Healthcare, Evanston, IL 60201, USA. nrodriguez@enh.org
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Animals
Colostrum / immunology*
Humans
Infant, Low Birth Weight / immunology*
Infant, Newborn
Grant Support
ID/Acronym/Agency:
F31 NR007584-05/NR/NINR NIH HHS; F31NR007584/NR/NINR NIH HHS; NR010009/NR/NINR NIH HHS; R01 NR010009-02/NR/NINR NIH HHS; R01 NR010009-05/NR/NINR NIH HHS
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