Evidence map›Paper›PMID 32439860›Full record

Trial reportNature communications2020

A randomized trial evaluating virus-specific effects of a combination probiotic in children with acute gastroenteritis.

Stephen B Freedman, Jianling Xie, Alberto Nettel-Aguirre, Xiao-Li Pang, Linda Chui, Sarah Williamson-Urquhart, David Schnadower, Suzanne Schuh, Philip M Sherman, Bonita E Lee and 9 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Pathogen-Specific Effects of Probiotics in Children With Acute Gastroenteritis Seeking Emergency Care: A Randomized Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Trial
  3. Trial
  4. Article
  5. Applied and environmental microbiology · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Paediatrics & child health · 2022
    Review
  17. Paediatrics & child health · 2022
    Review
  18. Article
  19. PivotalVaccines · 2022
    Article
  20. Review
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

19 authors.

Stephen B FreedmanAlberta Children's Hospital Foundation Professor in Child Health and Wellness, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada. Stephen.freedman@ahs.ca.ORCID http://orcid.org/0000-0003-2319-6192
Jianling XieAlberta Children's Hospital Foundation Professor in Child Health and Wellness, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada.
Alberto Nettel-AguirreAlberta Children's Hospital Foundation Professor in Child Health and Wellness, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada.
Xiao-Li PangUniversity of Alberta, 116 St & 85 Ave., Edmonton, AB, T6G 2R3, Canada.
Linda ChuiUniversity of Alberta, 116 St & 85 Ave., Edmonton, AB, T6G 2R3, Canada.
Sarah Williamson-UrquhartAlberta Children's Hospital Foundation Professor in Child Health and Wellness, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada.
David SchnadowerUniversity of Cincinnati, 3333 Burnet Ave, Cincinnati, OH, UCA 45229, USA.
Suzanne SchuhUniversity of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Philip M ShermanUniversity of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.ORCID http://orcid.org/0000-0002-4733-6690
Bonita E LeeUniversity of Alberta, 116 St & 85 Ave., Edmonton, AB, T6G 2R3, Canada.
Serge GouinUniversité de Montréal, 3175 Chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1C5, Canada.
Ken J FarionUniversity of Ottawa, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada.ORCID http://orcid.org/0000-0002-7502-1872
Naveen PoonaiUniversity of Western Ontario, 800 Commissioners Road E, London, ON, N6A 5W9, Canada.
Katrina F HurleyDalhousie University, 5980 University Avenue, PO Box 9700, Halifax, NS, B3K 6R8, Canada.
Yuanyuan QiuUniversity of Alberta, 116 St & 85 Ave., Edmonton, AB, T6G 2R3, Canada.
Binal GhandiUniversity of Alberta, 116 St & 85 Ave., Edmonton, AB, T6G 2R3, Canada.
Colin LloydUniversity of Alberta, 116 St & 85 Ave., Edmonton, AB, T6G 2R3, Canada.
Yaron FinkelsteinUniversity of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Pediatric Emergency Research Canada Probiotic (PERC) Regimen for Outpatient Gastroenteritis Utility of Treatment (PROGUT) Trial Group

Funding

CIHR 286384CIHR 325412
6 · The paper itself

Abstract

Gastroenteritis accounts for nearly 500,000 deaths in children younger than 5 years annually. Although probiotics have been touted as having the potential to expedite diarrhea resolution, recent clinical trials question their effectiveness. A potential explanation is a shift in pathogens following the introduction of a rotavirus vaccine. Here, we report the results of a multi-center, double-blind trial of 816 children with acute gastroenteritis who completed follow-up and provided multiple stool specimens. Participants were randomized to receive a probiotic containing Lactobacillus rhamnosus and Lactobacillus helveticus or placebo. We report no virus-specific beneficial effects attributable to the probiotic, either in reducing clinical symptoms or viral nucleic acid clearance from stool specimens collected up to 28 days following enrollment. We provide pathophysiological and microbiologic evidence to support the clinical findings and conclude that our data do not support routine probiotic administration to children with acute gastroenteritis, regardless of the infecting virus.

Indexed as

Acute DiseaseChild, PreschoolDiarrheaDouble-Blind MethodFecesFemaleGastroenteritisHumansInfantLacticaseibacillus rhamnosusLactobacillus helveticusMaleProbioticsTreatment OutcomeViral LoadViruses

Identifiers

PMID32439860
PMCPMC7242434

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.