Evidence map›Paper›PMID 24131826›Full record

Trial reportThe Journal of allergy and clinical immunology2014

Prebiotic and probiotic supplementation prevents rhinovirus infections in preterm infants: a randomized, placebo-controlled trial.

Raakel Luoto, Olli Ruuskanen, Matti Waris, Marko Kalliomäki, Seppo Salminen, Erika Isolauri

3 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 133 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 12 pooled it
12.8field-weighted citation impact, top 1% of its field
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.

NCT00167700 naunknown statusnot on this map

Nutrition, Allergy, Mucosal Immunology and Intestinal Microbiota (NAMI): Pre-, Peri- and Postnatal Programming and Origins of Disease: Early Targeting the Epidemics of Allergy and Overweight

TypeinterventionalSponsorUniversity of TurkuRan1997 to 2015Enrolled800ConditionsAllergic Disease, Obesity, ImmunologyArmsDietary counselling and placebo, Dietary counselling and probiotics, Placebo capsules, Probiotics, Prebiotics
NCT02687503 nacompletednot on this mapstarted 2017, after this paper: background citation

Impact of Probiotic Use on Immune Cell Function in Children

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2017 to 2019Enrolled23ConditionsRespiratory Tract InfectionsArmsProbiotic
NCT05063149 phase3recruitingnot on this mapstarted 2022, after this paper: background citation

Protecting Late-moderate Preterm Infants From Respiratory Tract Infections and Wheeze in Their First Years of Life by Using Bacterial Lysates.

TypeinterventionalSponsorFranciscus GasthuisRan2022 to 2026Enrolled500ConditionsWheezing, LRTI, PrematureArmsBroncho-Vaxom, Placebo
3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 12 syntheses or guidelines pooled it, 281 citations in OpenAlex.

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  3. Probiotics for preventing acute upper respiratory tract infections.The Cochrane database of systematic reviews · 2022
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  6. The effect of probiotics on respiratory tract infection with special emphasis on COVID-19: Systemic review 2010-20.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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  11. Probiotics for preventing acute otitis media in children.The Cochrane database of systematic reviews · 2019
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73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Raakel LuotoDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland. Electronic address: raakel.luoto@utu.fi.
Olli RuuskanenDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Matti WarisDepartment of Virology, University of Turku, Turku, Finland.
Marko KalliomäkiDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Seppo SalminenFunctional Foods Forum, University of Turku, Turku, Finland.
Erika IsolauriDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Turku University Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimple and safe strategies for the prevention of viral respiratory tract infections (RTIs) are needed.

objectiveWe hypothesized that early prebiotic or probiotic supplementation would reduce the risk of virus-associated RTIs during the first year of life in a cohort of preterm infants.

methodsIn this randomized, double-blind, placebo-controlled trial (ClinicalTrials.gov no. NCT00167700), 94 preterm infants (gestational age, ≥32 + 0 and ≤36 + 6 weeks; birth weight, >1500 g) treated at Turku University Hospital, Turku, Finland, were allocated to receive oral prebiotics (galacto-oligosaccharide and polydextrose mixture, 1:1), a probiotic (Lactobacillus rhamnosus GG, ATCC 53103), or placebo (microcrystalline cellulose) between days 3 and 60 of life. The primary outcome was the incidence of clinically defined virus-associated RTI episodes confirmed from nasal swabs by using nucleic acid testing. Secondary outcomes were the severity and duration of RTIs.

resultsA significantly lower incidence of RTIs was detected in infants receiving prebiotics (rate ratio [RR], 0.24; 95% CI, 0.12-0.49; P < .001) or probiotics (RR, 0.50; 95% CI, 0.28-0.90; P = .022) compared with those receiving placebo. Also, the incidence of rhinovirus-induced episodes, which comprised 80% of all RTI episodes, was found to be significantly lower in the prebiotic (RR, 0.31; 95% CI, 0.14-0.66; P = .003) and probiotic (RR, 0.49; 95% CI, 0.24-1.00; P = .051) groups compared with the placebo group. No differences emerged among the study groups in rhinovirus RNA load during infections, duration of rhinovirus RNA shedding, duration or severity of rhinovirus infections, or occurrence of rhinovirus RNA in asymptomatic infants.

conclusionsGut microbiota modification with specific prebiotics and probiotics might offer a novel and cost-effective means to reduce the risk of rhinovirus infections.

Indexed as

PrebioticsDNA, ViralDouble-Blind MethodFemaleHumansInfantInfant, NewbornInfant, PrematureMalePicornaviridae InfectionsProbioticsRespiratory Tract DiseasesRhinovirusViral LoadDNA, ViralPrebioticsGalacto-oligosaccharidegut microbiotaLactobacillus rhamnosus GGpolydextroseprebioticpreterm infantprobioticRate ratioRespiratory syncytial virusRespiratory tract infectionrespiratory tract infectionsrhinovirusRRRSVRTI

Identifiers

PMID24131826
PMCPMC7112326
OpenAlexW2031395552

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.