Evidence map›Paper›PMID 24501384›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2014

Immune response and intestinal permeability in children with acute gastroenteritis treated with Lactobacillus rhamnosus GG: a randomized, double-blind, placebo-controlled trial.

Kulandaipalayam N C Sindhu, Thuppal V Sowmyanarayanan, Anu Paul, Sudhir Babji, Sitara S R Ajjampur, Sophia Priyadarshini, Rajiv Sarkar, K A Balasubramanian, Christine A Wanke, Honorine D Ward and 1 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01130792 (Probiotics for Infectious Diarrhea in Children in South India), which is not on this map. Cited by 83 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 11 pooled it
6.1field-weighted citation impact, top 3% 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.

NCT01130792 phase1 / phase2completednot on this map

Probiotics for Infectious Diarrhea in Children in South India

TypeinterventionalSponsorChristian Medical College, Vellore, IndiaRan2010 to 2011Enrolled124ConditionsInfectious GastroenteritisArmsLactobacillus GG, Inulin
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 11 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Frontiers in pediatrics · 2021
    Pooled it
  7. Probiotics for treating acute infectious diarrhoea.The Cochrane database of systematic reviews · 2020
    Pooled it
  8. Guideline
  9. Efficacy ofWorld journal of gastroenterology · 2019
    Pooled it
  10. Pooled it
  11. 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Guideline
  12. Trial
  13. Trial
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article

23 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

11 authors at 4 institutions in 2 countries.

Kulandaipalayam N C SindhuDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Thuppal V Sowmyanarayanan
Anu Paul
Sudhir Babji
Sitara S R Ajjampur
Sophia Priyadarshini
Rajiv Sarkar
K A Balasubramanian
Christine A Wanke
Honorine D Ward
Gagandeep Kang
Christian Medical College · INChristian Medical College & Hospital · INTufts Medical Center · USTufts University · US

Funding

Multi-disciplinary research training in enteric infectionsD43TW007392 · FIC · CHRISTIAN MEDICAL COLLEGE · PI KANG, GAGANDEEP · 2005 to 2020
$2.9M
Probiotics for Infectious Diarrhea in Children in South IndiaR03HD057736 · NICHD · TUFTS MEDICAL CENTER · PI WARD, HONORINE D · 2008 to 2009
$161k
FIC NIH HHS D43 TW007392NICHD NIH HHS R03 HD057736
6 · The paper itself

Abstract

backgroundProbiotics have a possible role in the treatment of pediatric acute gastroenteritis. We report the effect of the probiotic Lactobacillus rhamnosus GG (LGG) on intestinal function, immune response, and clinical outcomes in Indian children with cryptosporidial or rotavirus diarrhea.

methodsChildren with gastroenteritis aged 6 months to 5 years, testing positive for either rotavirus or Cryptosporidium species in stool (coinfections were excluded), were randomized to LGG (ATCC 53103) or placebo, once daily for 4 weeks. Baseline demographic and clinical details were obtained. Sera were tested for immunoglobulin G (IgG) and immunoglobulin A (IgA) antibodies to Cryptosporidium and rotavirus, and the lactulose to mannitol ratio for intestinal permeability was determined at baseline and at the end of follow-up.

resultsOf the 124 children enrolled, 82 and 42 had rotavirus and cryptosporidial diarrhea, respectively. Median diarrheal duration was 4 days; one-third of the children had severe diarrhea. Baseline and clinical parameters were comparable between children receiving LGG and placebo. At the end of follow-up, fewer children with rotavirus diarrhea on LGG had repeated diarrheal episodes (25% vs 46%; P = .048) and impaired intestinal function (48% vs 72%; P = .027). Significant increase in IgG levels postintervention (456 vs 2215 EU; P = .003) was observed in children with rotavirus diarrhea receiving LGG. Among children with cryptosporidial diarrhea, those receiving LGG showed significant improvement in intestinal permeability.

conclusionsLGG has a positive immunomodulatory effect and may be useful in decreasing repeated episodes of rotavirus diarrhea. Improvement in intestinal function in children with rotavirus and cryptosporidial gastroenteritis emphasizes the role of probiotics in treating intestinal impairment after infection. CLINICAL TRIALS REGISTRATION: CTRI/2010/091/000339.

Indexed as

PermeabilityAntibodies, ProtozoanAntibodies, ViralChild, PreschoolCryptosporidiosisDouble-Blind MethodFemaleGastroenteritisGastrointestinal TractHumansImmunoglobulin AImmunoglobulin GIndiaInfantLacticaseibacillus rhamnosusLactuloseAntibodies, ProtozoanAntibodies, ViralImmunoglobulin AImmunoglobulin GLactuloseMannitolPlacebosgastroenteritisimmune responseintestinal functionLGGprobiotics

Identifiers

PMID24501384
PMCPMC3967829
OpenAlexW2142647917

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.