Evidence map›Paper›PMID 28717131›Full record

Observational studyScientific reports2017

Lactobacillus acidophilus/Bifidobacterium infantis probiotics are associated with increased growth of VLBWI among those exposed to antibiotics.

Christoph Härtel, Julia Pagel, Juliane Spiegler, Janne Buma, Philipp Henneke, Michael Zemlin, Dorothee Viemann, Christian Gille, Stephan Gehring, David Frommhold and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Neonatal faecal abundance ofGut microbiome (Cambridge, England) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Nutrients · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Nutrients · 2020
    Observational
  15. Article
  16. Efficacy ofBMJ open · 2019
    Article
  17. Three-Month Feeding Integration WithFrontiers in nutrition · 2018
    Article
  18. 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

13 authors at 7 institutions in 1 country.

Christoph HärtelDepartment of Pediatrics, University of Lübeck, Lubeck, Germany. christoph.haertel@uksh.de.
Julia PagelDepartment of Pediatrics, University of Lübeck, Lubeck, Germany.
Juliane SpieglerDepartment of Pediatrics, University of Lübeck, Lubeck, Germany.
Janne BumaDepartment of Pediatrics, University of Lübeck, Lubeck, Germany.
Philipp HennekeCenter for Pediatrics and Adolescent Medicine and Center for Chronic, Immunodeficiency, University Medical Center, Freiburg, Germany.
Michael ZemlinDepartment of Pediatrics, University of Marburg, Marburg, Germany.
Dorothee ViemannDepartment of Neonatology, Hanover Medical School, Hanover, Germany.
Christian GilleDepartment of Neonatology, University of Tübingen, Tubingen, Germany.
Stephan GehringDepartment of Infectious Diseases, Gastroenterology and Pediatric Intensive Care, University of Mainz, Mainz, MD, Germany.
David FrommholdDepartment of Neonatology, University of Heidelberg, Heidelberg, Germany.
Jan RuppDepartment of Infectious Diseases and Microbiology, University of Lübeck, Lubeck, Germany.
Egbert HertingDepartment of Pediatrics, University of Lübeck, Lubeck, Germany.
Wolfgang GöpelDepartment of Pediatrics, University of Lübeck, Lubeck, Germany.
University of Lübeck · DEHeidelberg University · DEJohannes Gutenberg University Mainz · DEMedizinische Hochschule Hannover · DEPhilipps University of Marburg · DEUniversity Medical Center Freiburg · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed an observational study with very-low-birth weight infants (VLBWI) ≤33 weeks of gestation born in centers of the German Neonatal Network (GNN; (total n = 8534, n = 6229 received probiotics). The primary objectives of our study were (a) to assess the effect of Lactobacillus acidophilus/Bifidobacterium infantis probiotics on growth in VLBWI during primary stay in hospital and (b) to determine whether this effect is modified by antibiotic exposure. In linear regression models the administration of probiotics was independently associated with improved weight gain [g/d; effect size B = 0.62 (95% CI: 0.37-0.87), p < 0.001], and higher growth rates for body length [(mm/d; B = 0.06 (95% CI: 0.04-0.08), p < 0.001] and head circumference [mm/d; B = 0.03, 95% CI: 0.02-0.04, p < 0.001]. This effect was pronounced in infants with postnatal exposure to antibiotics; i.e. weight gain [g/d; B = 0.66 (95% CI: 0.32-1), p < 0.001], growth rate body length [(mm/d; B = 0.09 (95% CI: 0.06-0.12), p < 0.001] and head circumference [mm/d; B = 0.04, 95% CI: 0.02-0.06, p < 0.001]. In the small subgroup that was available for analysis at 5-year-follow-up (with probiotics: n = 120 vs. without probiotics: n = 54) we noted a sustained effect of probiotics in infants who received postnatal antibiotics. Probiotics may improve growth in antibiotic-treated infants which needs to be confirmed in randomized-controlled trials.

Indexed as

Anti-Bacterial AgentsBifidobacterium longum subspecies infantisBody HeightFemaleHumansInfantInfant, NewbornInfant, Very Low Birth WeightLactobacillus acidophilusLength of StayLinear ModelsMaleProbioticsTreatment OutcomeWeight GainAnti-Bacterial Agents

Identifiers

PMID28717131
PMCPMC5514087
OpenAlexW2735067321

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.