Evidence map›Paper›PMID 15106189›Full record

SynthesisThe Cochrane database of systematic reviews2004

Probiotics for treating infectious diarrhoea.

S J Allen, B Okoko, E Martinez, G Gregorio, L F Dans

2 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 76 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02819960 phase3completednot on this mapstarted 2016, after this paper: background citation

Prevention of Irinotecan Induced Diarrhea by Probiotics: A Phase III Study

TypeinterventionalSponsorS&D Pharma SK s.r.o.Ran2016 to 2022Enrolled233ConditionsDiarrhea, CancerArmsProbio-Tec® BG-VCap-6.5, Placebo
NCT03150927 naunknown statusnot on this mapstarted 2017, after this paper: background citation

A Clinical Study to Determine the Effects of a Novel Probiotic Microbial Composite™ on Improving Digestive Health and Key Growth Parameters in Undernourished Young Children

TypeinterventionalSponsorBiowish Technologies, Inc.Ran2017 to 2019Enrolled250ConditionsQuality of Life, Malnutrition, Growth ArrestArmsProbiotic Microbial Composite, Placebo
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 6 syntheses or guidelines pooled it, 379 citations in OpenAlex.

  1. Probiotics for treating acute infectious diarrhoea.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Pooled it
  3. Probiotics for treating eczema.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
  5. Probiotics for treating persistent diarrhoea in children.The Cochrane database of systematic reviews · 2013
    Pooled it
  6. Probiotics for treating acute infectious diarrhoea.The Cochrane database of systematic reviews · 2010
    Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Prevention of febrile neutropenia in cancer patients by probiotic strain Enterococcus faecium M-74. Phase II study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2006
    Trial
  15. Article
  16. The Effects of Commercially AvailableInfection and drug resistance · 2022
    Article
  17. Review
  18. The Cooperation ofMicroorganisms · 2021
    Article
  19. Review
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

S J AllenSwansea Clinical School, University of Wales Swansea, Grove Building, Swansea, West Glamorgan, UK, SA2 8PP.
B Okoko
E Martinez
G Gregorio
L F Dans
University of the Philippines System · PHMedical Research Council · GBPhilippine General Hospital · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProbiotics are microbial cell preparations or components of microbial cells that have a beneficial effect on the health and well being of the host. Probiotics may offer a safe intervention in acute infectious diarrhoea to reduce the duration and severity of the illness.

objectivesTo assess the effects of probiotics in proven or presumed infectious diarrhoea. SEARCH STRATEGY: We searched the Cochrane Infectious Diseases Group's trials register (December 2002), the Cochrane Controlled Trials Register (The Cochrane Library Issue 4, 2002), MEDLINE (1966 to 2002), EMBASE (1988 to 2002), and reference lists from studies and reviews. We also contacted organizations and individuals working in the field, and pharmaceutical companies manufacturing probiotic agents. SELECTION CRITERIA: Randomized controlled trials comparing a specified probiotic agent with placebo or no probiotic in people with acute diarrhoea that is proven or presumed to be caused by an infectious agent. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial methodological quality and extracted data. MAIN

resultsTwenty-three studies met the inclusion criteria with a total of 1917 participants, mainly in countries with low overall mortality rates. Trials varied in relation to the probiotic(s) tested, dosage, methodological quality, and the diarrhoea definitions and outcomes. Probiotics reduced the risk of diarrhoea at 3 days (relative risk 0.66, 95% confidence interval 0.55 to 0.77, random effects model; 15 studies) and the mean duration of diarrhoea by 30.48 hours (95% confidence interval 18.51 to 42.46 hours, random effects model, 12 studies). Subgroup analysis by probiotic(s) tested, rotavirus diarrhoea, national mortality rates, and age of participants did not fully account for the heterogeneity. REVIEWERS'

conclusionsProbiotics appear to be a useful adjunct to rehydration therapy in treating acute, infectious diarrhoea in adults and children. More research is needed to inform the use of particular probiotic regimens in specific patient groups.

Indexed as

AdultChildDiarrheaHumansProbiotics

Identifiers

PMID15106189
OpenAlexW1861141501

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.