Evidence map›Paper›PMID 29446865›Full record

ReviewActa paediatrica (Oslo, Norway : 1992)2018

Guidance on the use of probiotics in clinical practice in children with selected clinical conditions and in specific vulnerable groups.

Iva Hojsak, Valentina Fabiano, Tudor Lucian Pop, Olivier Goulet, Gian Vincenzo Zuccotti, Fugen Cullu Çokuğraş, Massimo Pettoello-Mantovani, Sanja Kolaček

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Acta paediatrica (Oslo, Norway : 1992), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03988257 (The Effectiveness of Pleuran in Treatment of Acute Gastroenteritis in Children- a Randomized, Placebo-controlled, Double-blind Trial), which is not on this map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
24.2field-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.

NCT03988257 phase4completednot on this mapstarted 2019, after this paper: background citation

The Effectiveness of Pleuran in Treatment of Acute Gastroenteritis in Children- a Randomized, Placebo-controlled, Double-blind Trial

TypeinterventionalSponsorMedical University of WarsawRan2019 to 2022Enrolled27ConditionsDiarrhoea, AcuteArmsImunoglukan PH4, Placebo (vitamin C syrup)
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 118 citations in OpenAlex.

  1. Trial
  2. High-dose Probiotic Mix ofOpen forum infectious diseases · 2024
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  9. Antioxidant and Anti-Inflammatory Activities of Probiotic Strains.International journal of molecular sciences · 2026
    Review
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  19. Administration ofmedRxiv : the preprint server for health sciences · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 6 countries.

Iva HojsakChildren's Hospital Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia.
Valentina FabianoPaediatric Department, Vittore Buzzi Children's Hospital, Università degli Studi di Milano, Milan, Italy.
Tudor Lucian Pop2nd Paediatric Clinic, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania.
Olivier GouletDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Intestinal Failure Rehabilitation Centre, National Reference Centre for Rare Digestive Diseases, APHP Necker-Enfants Malades Hospital, Paris-Descartes University, Paris, France.
Gian Vincenzo ZuccottiPaediatric Department, Vittore Buzzi Children's Hospital, Università degli Studi di Milano, Milan, Italy.
Fugen Cullu ÇokuğraşPaediatric Gastroenterology, Hepatology and Nutrition, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey.
Massimo Pettoello-MantovaniDepartment of Paediatrics, Scientific Institute 'Casa Sollievo della Sofferenza', University of Foggia, Foggia, Italy.
Sanja KolačekChildren's Hospital Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia.
University of Milan · ITHôpital Necker-Enfants Malades · FRIstanbul University · TRIuliu Hațieganu University of Medicine and Pharmacy · ROUniversity of Foggia · ITUniversity of Osijek · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe use of probiotics has been covered by many guidelines, position papers and evidence-based recommendations, but few have referred to specific patient groups or clinical indications. This review summarises recommendations and scientifically credited guidelines on the use of probiotics for children with selected clinical conditions and provides practice points.

methodsAn expert panel was convened by the European Paediatric Association in June 2017 to define the relevant clinical questions for using probiotics in paediatric health care and review and summarise the guidelines, recommendations, position papers and high-quality evidence.

resultsThe panel found that specific probiotic strains were effective in preventing antibiotic-associated and nosocomial diarrhoea, treating acute gastroenteritis and treating infantile colic in breastfed infants. However, special caution is indicated for premature infants, immunocompromised and critically ill patients and those with central venous catheters, cardiac valvular disease and short-gut syndrome. This review discusses the safety of using probiotics in selected groups of paediatric patients and the quality of the available products providing practice points based on proved findings.

conclusionEfficacy of probiotics is strain specific. Their benefits are currently scientifically proven for their use in selected clinical conditions in children and not recommended for certain patient groups.

Indexed as

ChildColicCross InfectionDiarrheaGastroenteritisHumansHypersensitivityIrritable Bowel SyndromeProbioticsQuality ControlRespiratory Tract InfectionsBifidobacteriumChildrenLactobacillusProbioticsSaccharomyces

Identifiers

PMID29446865
PMCPMC5969308
OpenAlexW2794093759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.