Effect of breastfeeding on the development of infection-related diseases during hospitalization in late preterm infants in 25 hospitals in Beijing, China
HAN Lu-Yan1, XU Xiao-Jing1, TONG Xiao-Mei2, ZHANG Xin3, LIU Jie4, YANG Li5, LIU Hui6, YAN Ju7, SONG Zhi-Fang8, MEI Ya-Bo9, MI Rong10, QIN Xuan-Guang11, LIU Yu-Huan12, QI Yu-Jie13, ZHANG Wei14, ZENG Hui-Hui14, CUI Hong15, LONG Hui16, GUO Guo17, CHEN Xu-Lin18, YANG Zhao-Yi19, SUN Fang20, FU Xiao-Hui21, WANG Chang-Yan22, LI Zheng-Hong22
Department of Pediatrics, First Hospital of Tsinghua University, Beijing 100016, China
Abstract Objective To investigate the incidence rate of infectious diseases during hospitalization in late preterm infants in Beijing, China, as well as the risk factors for infectious diseases and the effect of breastfeeding on the development of infectious diseases. Methods Related data were collected from the late preterm infants who were hospitalized in the neonatal wards of 25 hospitals in Beijing, China, from October 23, 2015 to October 30, 2017. According to the feeding pattern, they were divided into a breastfeeding group and a formula feeding group. The two groups were compared in terms of general status and incidence rate of infectious diseases. A multivariate logistic regression analysis was used to investigate the risk factors for infectious diseases. Results A total of 1 576 late preterm infants were enrolled, with 153 infants in the breastfeeding group and 1 423 in the formula feeding group. Of all infants, 484 (30.71%) experienced infectious diseases. The breastfeeding group had a significantly lower incidence rate of infectious diseases than the formula feeding group (22.88% vs 31.55%, P=0.033). The multivariate logistic regression analysis showed that breastfeeding was an independent protective factor against infectious diseases (OR=0.534, P=0.004), while male sex, premature rupture of membranes, gestational diabetes mellitus, and asphyxia were risk factors for infectious diseases (OR=1.328, 5.386, 1.535, and 2.353 respectively, P < 0.05). Conclusions Breastfeeding can significantly reduce the incidence of infectious diseases and is a protective factor against infectious diseases in late preterm infants. Breastfeeding should therefore be actively promoted for late preterm infants during hospitalization.
HAN Lu-Yan,XU Xiao-Jing,TONG Xiao-Mei et al. Effect of breastfeeding on the development of infection-related diseases during hospitalization in late preterm infants in 25 hospitals in Beijing, China[J]. CJCP, 2020, 22(12): 1245-1250.
HAN Lu-Yan,XU Xiao-Jing,TONG Xiao-Mei et al. Effect of breastfeeding on the development of infection-related diseases during hospitalization in late preterm infants in 25 hospitals in Beijing, China[J]. CJCP, 2020, 22(12): 1245-1250.
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