Evidence map›Paper›PMID 25922398›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015

Risk and safety of probiotics.

Shira Doron, David R Snydman

3 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. 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 406 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
406citing papers in PubMed, 6 pooled it
50.3field-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.

NCT05474144 nacompletednot on this mapstarted 2021, after this paper: background citation

A Two-arm, Double-blind, Randomized, Placebo-controlled Trial Investigating the Efficacy of the Probiotic Dietary Supplement SmartProbio C in the Supportive Supplementation of Patients With a Complicated Course of COVID-19 Infection

TypeinterventionalSponsorMedi Pharma VisionRan2021 to 2022Enrolled83ConditionsCOVID-19ArmsSmartProbio C, Placebo
NCT05719649 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Efficacy of NTU 101 Lactic Acid Bacteria Powder in the Adjuvant Improvement of Atopic Dermatitis - A Double-blind, Multi-center Randomized, Placebo-controlled Clinical Trial

TypeinterventionalSponsorSunWay Biotech Co., LTD.Ran2023 to 2023Enrolled72ConditionsAtopic Dermatitis, Atopic Dermatitis EczemaArmsLactic acid bacteria NTU 101, Placebo
NCT06491342 nacompletednot on this mapstarted 2024, after this paper: background citation

Probiotic supplement versus placebo for decrease steatosis in metabolic dysfunction-associated steatotic liver disease (masld): a multicenter, randomized, double-blind, placebo-controlled trial

TypeinterventionalSponsorPhramongkutklao College of Medicine and HospitalRan2024 to 2025Enrolled90ConditionsFatty Liver, NonalcoholicArmsProbiotic, Placebo
3 · Its place in the literature

Who cites it

406 citing papers in PubMed, 6 syntheses or guidelines pooled it, 888 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Evaluation of the Safety and Impact of Heat-TreatedJournal of microbiology and biotechnology · 2024
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Genomic characterization ofNew microbes and new infections · 2026
    Article
  15. Clinical analysis of 16 patients withNew microbes and new infections · 2026
    Article
  16. Review
  17. UropathogenicAntibiotics (Basel, Switzerland) · 2026
    Review
  18. Review
  19. Article
  20. Review

346 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

2 authors at 1 institution in 1 country.

Shira DoronDivision of Infectious Diseases, Tufts Medical Center, Boston, Massachusetts.
David R SnydmanDivision of Infectious Diseases, Tufts Medical Center, Boston, Massachusetts.
Tufts Medical Center · US

Funding

Lactobacillus GG for Irritable Bowel SyndromeK23AT003391 · NCCIH · TUFTS MEDICAL CENTER · PI DORON, SHIRA I · 2010 to 2012
$359k
NCCIH NIH HHS 5K23 AT003391-03NCCIH NIH HHS K23 AT003391
6 · The paper itself

Abstract

Probiotics have been used safely for years. Safety outcomes are inconsistently reported in published clinical trials. In 2011, a report released by the Agency for Healthcare Research and Quality concluded that, although the existing probiotic clinical trials reveal no evidence of increased risk, "the current literature is not well equipped to answer questions on the safety of probiotics in intervention studies with confidence." Critics point out that the preponderance of evidence, including the long history of safe probiotic use as well as data from clinical trials, and animal and in vitro studies all support the assumption that probiotics are generally safe for most populations. Theoretical risks have been described in case reports, clinical trial results and experimental models, include systemic infections, deleterious metabolic activities, excessive immune stimulation in susceptible individuals, gene transfer and gastrointestinal side effects. More research is needed to properly describe the incidence and severity of adverse events related to probiotics.

Indexed as

Clinical Trials as TopicFungemiaGastrointestinal TractGene Transfer, HorizontalHumansLactobacillusProbioticsRiskSaccharomycesSepsisUnited StatesbacteremiaLactobacillusprobioticsSaccharomycessafety

Identifiers

PMID25922398
PMCPMC4490230
OpenAlexW2027617880

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.