Study design | Observational studies comparing outcomes and eras before and after introduction of fluconazole prophylaxis in neonatal unit(s) |
Participants | VLBW (less than 1500 g) or very preterm (less than 32 weeks' gestation) newborn infants |
Intervention | Fluconazole prophylaxis, either parenteral or enteral (or both), given for at least 2 weeks postnatally |
Comparison | Placebo or no fluconazole |
Studies where control infants received oral/topical non-absorbed prophylaxis were eligible for inclusion in subgroup analyses | |
Outcomes | Confirmed invasive fungal infection defined as:
|
Death before hospital discharge | |
Neurodevelopmental outcomes assessed using validated assessment tools |
VLBW, very low birth weight.