Comparison of Soybean-based Oil and MCT-olive-fish-soy Oil Intravenous Lipid Emulsions on Soluble Adhesion Markers in Preterm Neonates with Sepsis: A Randomized Controlled Trial

Indian Pediatr. 2019 Oct 15;56(10):841-844. Epub 2019 Aug 10.

Abstract

Objective: To compare the effects of two different intravenous lipid emulsions on soluble adhesion markers in preterm infants with sepsis.

Methods: This randomized controlled pilot trial was conducted from February 2016 to February 2017. 40 preterm infants with sepsis were enrolled and assigned to receive either Medium chain triglyceride-Olive-Fish-Soy lipid emulsion (MOFS-LE) or soybean oil-based lipid emulsion (S-LE). Outcomes of the study were changes in sICAM-1 and leukocyte integrin b2 levels, and growth after 7 days of intervention.

Results: Leukocyte integrin b2 was significantly higher in MOFS-LE group. No statistically significant differences were observed for sICAM-1, duration of mechanical ventilation and antibiotics treatment, and mortality rate.

Conclusions: Leukocyte integrin b2 was significantly higher in preterm septic neonates who received MOFS-LE.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Biomarkers / blood
  • Child Development / physiology*
  • Double-Blind Method
  • Egypt
  • Fat Emulsions, Intravenous / administration & dosage*
  • Female
  • Fish Oils / administration & dosage*
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal
  • Intercellular Adhesion Molecule-1 / blood
  • Interferon-alpha / blood
  • Male
  • Pilot Projects
  • Sepsis / diagnosis
  • Sepsis / therapy*
  • Soybean Oil / administration & dosage*
  • Statistics, Nonparametric
  • Treatment Outcome

Substances

  • Biomarkers
  • Fat Emulsions, Intravenous
  • Fish Oils
  • ICAM1 protein, human
  • Interferon-alpha
  • Intercellular Adhesion Molecule-1
  • Soybean Oil