Stefan Johansson, MD PhD
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stefanjohansson.nicuverse.org.ap.brid.gy
Stefan Johansson, MD PhD
@stefanjohansson.nicuverse.org.ap.brid.gy
Works in the Dept of Brilliant Ideas, as Founder of Things. Also consultant neonatologist and associate professor in Stockholm/SE. ☕️
Founder of […]

🌉 bridged from https://nicuverse.org/@stefanjohansson on the fediverse by https://fed.brid.gy/
Interesting paper for the #nicuverse, hot off the press (out yesterday).
Clearly, the FDA warnings regarding probiotics use in 2023, that practically led to that US NICUs stopped using probiotics, resulted in a re-bound in NEC-rates after the decrease seen after probiotics was introduced.
Food […]
Original post on nicuverse.org
nicuverse.org
November 25, 2025 at 1:37 PM
Family reflections on HIE - this is read for all in the #nicuverse.

Thank you @HopeforHIE for sharing
https://www.nature.com/articles/s41390-025-04506-y

And thank you @keithbarrington for your post that brought it to my radar with your post https://neonatalresearch.org/2025/11/20/hope-for-hie/ […]
Original post on nicuverse.org
nicuverse.org
November 23, 2025 at 10:12 AM
New EBNEO commentary out in @actapaed about ”Cord Blood Red Cell Transfusions and Severe Retinopathy of Prematurity in Preterm Neonates”

Short version - stick to a restrictive transfusion guideline. Cord blood red cells is a promising strategy but large trials are needed […]
Original post on nicuverse.org
nicuverse.org
November 21, 2025 at 2:29 PM
Today 17 Nov is #worldprematuritetday
Spend a moment to think about this big #publichealth challenge (WHO link below) , and spend some to your local charity or research fund too.
In Sweden, e.g. Lilla barnets fond
https://www.who.int/campaigns/world-prematurity-day/2025
#neomastodon
World Prematurity Day 2025
www.who.int
November 17, 2025 at 9:59 AM
@ulrade Hej Ulrika! Apologies it took some time for us to validate your reg here! Looking fw to keep in touch here.
Great if you can add some words in your User Profile and an avatar/photo for easy recognition in the feed. ATB!

Follow a few accounts to start with, such as @99nicu @nicupodcast […]
Original post on nicuverse.org
nicuverse.org
November 11, 2025 at 9:18 AM
November 7, 2025 at 6:10 PM
Reposted by Stefan Johansson, MD PhD
Lactoferrin supplementation does not prevent late-onset sepsis in the preterm… or is it more complicated that that?

Many of my readers will remember the impressive results of the high-quality study by Paolo Manzoni, Manzoni P, et al. Bovine lactoferrin supplementation for prevention of late-onset…
Lactoferrin supplementation does not prevent late-onset sepsis in the preterm… or is it more complicated that that?
Many of my readers will remember the impressive results of the high-quality study by Paolo Manzoni, Manzoni P, et al. Bovine lactoferrin supplementation for prevention of late-onset sepsis in very low-birth-weight neonates: a randomized trial. JAMA. 2009;302(13):1421–8) which showed that routine supplementation of preterm infants with bovine lactoferrin (bLF) dramatically reduced late-onset sepsis. Many of us were quite excited with this finding, and launched our own studies, I performed a pilot in my NICU, hoping to use the data to get funding for a confirmatory trial (Barrington KJ, et al.
neonatalresearch.org
November 6, 2025 at 5:52 PM
As promised, here’s some bits and pieces from the #n3 Study Day, as a long #neomastodon thread. Hope it finds some reads in the #nicuverse! Apologies for the many words! (1/18)
November 5, 2025 at 10:25 AM
Great to be at the #n3 (Neonatal Nutrition Network, URL below) Study Day and attending the workshop about early exclusive enteral feeding in preterm infants. The FEED1 trial (link below!) showing that exclusive enteral feeding works equally well compared to enteral+iv nutrition, is IMHO my fav […]
Original post on nicuverse.org
nicuverse.org
November 4, 2025 at 4:34 PM
November 3, 2025 at 1:35 PM
November 3, 2025 at 8:27 AM
Reposted by Stefan Johansson, MD PhD
Avoiding IVs in moderately preterm babies

A new very large (for neonatology) RCT has just been published. Ojha S, et al. Full exclusively enteral fluids from day 1 versus gradual feeding in preterm infants (FEED1): a open-label, parallel-group, multicentre, randomised, superiority trial. Lancet…
Avoiding IVs in moderately preterm babies
A new very large (for neonatology) RCT has just been published. Ojha S, et al. Full exclusively enteral fluids from day 1 versus gradual feeding in preterm infants (FEED1): a open-label, parallel-group, multicentre, randomised, superiority trial. Lancet Child Adolesc Health. 2025. Mothers were approached prior to preterm delivery, and babies were enrolled if they delivered between 30 and >33 weeks gestation, and were deemed clinically stable, prior to 3 hours of age. Prior to delivery the mothers either gave full written signed consent, or they verbally agreed to the study, in which case they had a full written consent later.
neonatalresearch.org
October 28, 2025 at 3:40 PM
Survival has improved in Swedish infants born at 22-26 weeks, while neurodevelopmental outcomes have not, according to this deep dive into national register data. Similar findings have been BTW reported from other contexts, like Au.

Why this, despite all investments (time, effort, money) in […]
Original post on nicuverse.org
nicuverse.org
October 28, 2025 at 8:00 AM
Propensity score matching, as explained by in this great stat series by NEJM.
Silly context example (“how are ratings for maple syrups compare?”) but otherwise good to get how it works.
BTW, it’s a bad decision by NEJM to place this content behind their paywall.
To paraphrase the old saying - […]
Original post on nicuverse.org
nicuverse.org
October 27, 2025 at 6:58 AM
October 26, 2025 at 11:32 AM
While travelling home from #jens2025 , I was thinking about that/how the neonatal social media feeds feels so... collapsed.

But I believe in the #nicuverse and #neomastodon!
Long version ⬇️ in the Dept of Brilliant Ideas […]
Original post on nicuverse.org
nicuverse.org
October 25, 2025 at 7:56 PM
And, along those lines, next up in this #jens2025 session is @DrVickyPayne in our @99nicu team, sharing a wonderful talk about developing neonatal nursing research capacity and capability.
There is such a large unmet need of this, but the opportunities are few […]

[Original post on nicuverse.org]
October 24, 2025 at 7:58 AM
Refl to the #nicuverse from #jens2025 and the talk by Rosemarie Boland about variations in the care of 22week infants - there is IMHO a sound shift in "acceptance" for care at this gest week. It goes without saying that outcomes depend on what/whether care is […]

[Original post on nicuverse.org]
October 24, 2025 at 7:50 AM
Am at #jens2025, great #nicuverse gathering in Belgrade.
Had an interesting conversation today with @DrVickyPayne
Whether we have entered the “post-evidence-based” era.
Analogous to “postmodernism., leading to a paralytic state of things.
Change is hold back because there is always the case that […]
Original post on nicuverse.org
nicuverse.org
October 22, 2025 at 9:06 PM
Reposted by Stefan Johansson, MD PhD
https://www.politifact.com/article/2025/oct/20/circumcision-tylenol-autism-rfk-acetaminophen/

“We looked at the studies, one from 2013 and one from 2015.

Neither showed that circumcision causes autism. Neither had data on whether #acetaminophen, the active ingredient in Tylenol, was given to […]
Original post on med-mastodon.com
med-mastodon.com
October 22, 2025 at 6:19 PM