Evidence map›Paper›PMID 27747250›Full record

ReviewOpen forum infectious diseases2016

Probiotics in Human Immunodeficiency Virus Infection: A Systematic Review and Evidence Synthesis of Benefits and Risks.

George M Carter, Aryan Esmaeili, Hardikkumar Shah, Debbie Indyk, Matthew Johnson, Michael Andreae, Henry S Sacks

Open access · goldAbstract readReview
In one paragraph

Review in Open forum infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
7.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Antioxidant and Anti-Inflammatory Activities of Probiotic Strains.International journal of molecular sciences · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. The gut microbiome and frailty.Translational research : the journal of laboratory and clinical medicine · 2020
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Cost-Effectiveness Analysis of Probiotic Use to PreventOpen forum infectious diseases · 2017
    Article
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

7 authors at 4 institutions in 1 country.

George M CarterFoundation for Integrative AIDS Research, Brooklyn.
Aryan EsmaeiliIcahn School of Medicine at Mount Sinai.
Hardikkumar ShahIcahn School of Medicine at Mount Sinai.
Debbie IndykDepartment of Preventive Medicine , Icahn School of Medicine at Mount Sinai.
Matthew JohnsonTeachers College, Columbia University.
Michael AndreaeDepartment of Anesthesiology , Albert Einstein College of Medicine , Bronx, New York.
Henry S SacksDepartment of Preventive Medicine , Icahn School of Medicine at Mount Sinai.
Icahn School of Medicine at Mount Sinai · USAlbert Einstein College of Medicine · USAmerican Foundation for AIDS Research · USColumbia University · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Meta-analysis of CAM therapies for HIVR01AT005824 · NCCIH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SACKS, HENRY S · 2010 to 2014
$1.9M
Clinical and Translational Science AwardKL2TR001071 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$968k
NCATS NIH HHS KL2 TR001071NCATS NIH HHS UL1 TR001073NCCIH NIH HHS R01 AT005824
6 · The paper itself

Abstract

People living with human immunodeficiency virus frequently use dietary supplements, including probiotics, but concern exists about ingesting live organisms. We performed a systematic review of the benefits of probiotics and a meta-analysis of sepsis risk. We undertook a protocol-driven, comprehensive review to identify all relevant studies, assess their quality, and summarize the evidence. Of 2068 references, 27 were analyzed. The data suggest possible benefits for CD4 count, recurrence or management of bacterial vaginosis, and diarrhea management. We examined randomized, controlled studies explicitly assessing sepsis in any patient population, and we found zero cases of supplement-associated bacteremia or fungemia in 39 randomized controlled trials comprising 9402 subjects. The estimated number needed to harm is 7369 in Bayesian approach (95% credible interval: 1689, ∞), which should reassure clinicians. No or mild adverse effects were reported. Longer duration studies investigating different individual and mixed strains for plausible indications are needed to establish best practices.

Indexed as

bacteremiafungemiaHIV infectionprobiotics

Identifiers

PMID27747250
PMCPMC5063545
OpenAlexW2531707166

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.