Table 1

Inclusion criteria

Study designObservational studies comparing outcomes and eras before and after introduction of fluconazole prophylaxis in neonatal unit(s)
ParticipantsVLBW (less than 1500 g) or very preterm (less than 32 weeks' gestation) newborn infants
InterventionFluconazole prophylaxis, either parenteral or enteral (or both), given for at least 2 weeks postnatally
ComparisonPlacebo or no fluconazole
Studies where control infants received oral/topical non-absorbed prophylaxis were eligible for inclusion in subgroup analyses
OutcomesConfirmed invasive fungal infection defined as:
  • Culture of fungus from a normally sterile site

  • Findings on autopsy examination consistent with invasive fungal infection

  • Findings on ophthalmological examination consistent with fungal ophthalmitis or retinitis

  • Pathognomonic findings on renal ultrasound

Death before hospital discharge
Neurodevelopmental outcomes assessed using validated assessment tools
  • VLBW, very low birth weight.