Evidence map›Paper›PMID 30541524›Full record

SynthesisBMC complementary and alternative medicine2018

Infectious complications following probiotic ingestion: a potentially underestimated problem? A systematic review of reports and case series.

Rafael Lessa Costa, José Moreira, Andrea Lorenzo, Cristiane C Lamas

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC complementary and alternative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
10.8field-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.

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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  10. Synbiotics: An Emerging Frontier in Infectious Diseases Control.Probiotics and antimicrobial proteins · 2026
    Review
  11. Review
  12. Review
  13. Subacute 28-Day OECD-Guided Oral Toxicity Study ofJournal of microbiology and biotechnology · 2026
    Article
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  15. Article
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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

4 authors at 3 institutions in 1 country.

Rafael Lessa CostaIntensive Care Unit of Unimed-Rio Hospital, Av. Ayrton Senna, 2550, Rio de Janeiro/RJ, CEP 22775-003, Brazil. lessa.med@gmail.com.ORCID http://orcid.org/0000-0001-9082-7631
José MoreiraNational Institute of Cardiology, Rio de Janeiro/RJ, Brazil.
Andrea LorenzoNational Institute of Cardiology, Rio de Janeiro/RJ, Brazil.
Cristiane C LamasNational Institute of Cardiology, Rio de Janeiro/RJ, Brazil.
Instituto Evandro Chagas · BRUniversidade do Estado do Rio de Janeiro · BRUniversidade Unigranrio · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is studied about complications related to probiotic ingestion. This study proposes to present a synthesis and critical evaluation of the reports and series of cases on the infectious complications related to the ingestion of probiotics, which can raise awareness for the prescribing and use of probiotics for certain groups of patients.

methodsSystematic review of reports and series of cases researched in the PubMed, SciELO and Scopus databases published until August 2018. The references of the articles were investigated manually for the search of cross references. SPSS version 23.0 was used for descriptive statistics and univariate analysis.

resultsWe found 60 case reports and 7 case series, making up a total of 93 patients. Fungemia was the most common infectious complications with 35 (37.6%) cases. The genus Saccharomyces was the most frequent with 47 (50.6%) cases, followed by Lactobacillus, Bifidobacterium, Bacillus, Pedioccocus and Escherichia with 26 (27.9%), 12 (12.8%), 5 (5.4%), 2 (2.2%) and 1 (1.1%) case, respectively. Adults over 60 years of age, Clostridium difficile colitis, antibiotic use and Saccharomyces infections were associated with overall mortality. HIV infections, immunosuppressive drugs, solid organ transplantation, deep intravenous lines, enteral or parenteral nutrition were not associated with death.

conclusionThe use of probiotics cannot be considered risk-free and should be carefully evaluated for some patient groups.

trial registrationCRD42016042289.

Indexed as

Administration, OralAdolescentAdultAgedAged, 80 and overBifidobacteriumChildChild, PreschoolFemaleGram-Positive Bacterial InfectionsHumansInfantInfant, NewbornLactobacillusMaleMiddle AgedFungemiaInfectionLactobacillusProbioticsSaccharomycesSepsis

Identifiers

PMID30541524
PMCPMC6292120
OpenAlexW2905075966

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.