Evidence map›Paper›PMID 33350604›Full record

Trial reportMicrobiologyOpen2021

Efficacy of Lactiplantibacillus plantarum 299 and 299v against nosocomial oropharyngeal pathogens in vitro and as an oral prophylactic treatment in a randomized, controlled clinical trial.

Anna Tranberg, Bengt Klarin, Julia Johansson, Lisa I Påhlman

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in MicrobiologyOpen, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02303301 (Changes in the Oropharyngeal Flora in Hospitalised Patients), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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.

NCT02303301 nacompletednot on this map

Changes in the Oropharyngeal Flora in Hospitalised Patients

TypeinterventionalSponsorRegion SkaneRan2014 to 2020Enrolled145ConditionsPharyngeal Bacterial Colonization, PneumoniaArmsProbiotics, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

4 authors at 2 institutions in 1 country.

Anna TranbergDivision of Intensive and Perioperative Care, Skåne University Hospital Lund, Lund, Sweden.ORCID 0000-0002-7685-2395
Bengt KlarinDivision of Intensive and Perioperative Care, Skåne University Hospital Lund, Lund, Sweden.ORCID 0000-0002-3531-8188
Julia JohanssonDivision of Intensive and Perioperative Care, Skåne University Hospital Lund, Lund, Sweden.
Lisa I PåhlmanDivision of Infectious Diseases, Skåne University Hospital Lund, Lund, Sweden.ORCID 0000-0001-6366-2309
Skåne University Hospital · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisturbance in the oropharyngeal microbiota is common in hospitalized patients and contributes to the development of nosocomial pneumonia. Lactiplantibacillus plantarum 299 and 299v (Lp299 and Lp299v) are probiotic bacteria with beneficial effects on the human microbiome.

aimTo investigate how Lp299 and Lp299v affect the growth of nosocomial oropharyngeal pathogens in vitro and to evaluate the efficacy in vivo when these probiotics are administered prophylactically in hospitalized patients.

methodsThe in vitro effect of Lp299 and Lp299v on nosocomial respiratory tract pathogens was evaluated using two methods, the co-culture and agar overlay. In the clinical study, patients were randomized to orally receive either probiotics or placebo twice daily during their hospital stay. Oropharyngeal swabs were analyzed at inclusion and every fourth day throughout hospitalization.

findingsAll tested pathogens were completely inhibited by both Lp299 and Lp299v using the agar-overlay method. In the co-culture experiment, Lp299 and Lp299v significantly (p < 0.05) reduced the growth of all pathogens except for Enterococcus faecalis co-incubated with Lp299. In the clinical study, daily oral treatment with Lp299 and Lp299v did not influence the development of disturbed oropharyngeal microbiota or nosocomial infection. Proton pump inhibitors, antibiotics, and steroid treatment were identified as risk factors for developing disturbed oropharyngeal microbiota.

conclusionsLp299 and Lp299v inhibited pathogen growth in vitro but did not affect the oropharyngeal microbiota in vivo. The ClinicalTrials.gov Identifier for this study is NCT02303301.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsAntibiosisBacteriaCross InfectionFemaleHumansLactiplantibacillus plantarumMaleMicrobiotaMiddle AgedOropharynxPlacebosProbioticsAnti-Bacterial AgentsPlaceboshospitalizationnosocomial infectionnosocomial pathogensoropharyngeal microbiotaprobiotics

Identifiers

PMID33350604
PMCPMC7885009
OpenAlexW3116141366

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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.