Evidence map›Paper›PMID 34213584›Full record

Trial reportWorld journal of urology2021

Escherichia coli Nissle 1917 as adjuvant therapy in patients with chronic bacterial prostatitis: a non-blinded, randomized, controlled trial.

Celeste Manfredi, Francesco P Calace, Ferdinando Fusco, Carmelo Quattrone, Dario Giordano, Felice Crocetto, Massimiliano Creta, Marco De Sio, Davide Arcaniolo

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. D-Mannose PlusMedicina (Kaunas, Lithuania) · 2023
    Trial
  3. Subacute 28-Day OECD-Guided Oral Toxicity Study ofJournal of microbiology and biotechnology · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. The Efficacy of FlogofilmJournal of clinical medicine · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Oral Preparation of Hyaluronic Acid, Chondroitin Sulfate, Curcumin, and Quercetin (IalurilPathophysiology : the official journal of the International Society for Pathophysiology · 2022
    Article
  13. Review
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Celeste ManfrediUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy.
Francesco P CalaceUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy. frap.calace@gmail.com.ORCID http://orcid.org/0000-0002-6340-4403
Ferdinando FuscoUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy.
Carmelo QuattroneUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy.
Dario GiordanoUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy.
Felice CrocettoDepartment of Urology, University "Federico II", Naples, Italy.
Massimiliano CretaDepartment of Urology, University "Federico II", Naples, Italy.
Marco De SioUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy.
Davide ArcanioloUrology Unit, Department of Woman Child and of General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Via S. Pansini 5, Naples, 80131, Italy.
University of Campania "Luigi Vanvitelli" · ITFederico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of Escherichia coli Nissle 1917 (EcN) in association with levofloxacin in patients with chronic bacterial prostatitis (CBP).

methodsPatients with CBP referred to our clinic from September 2017 to July 2019 were enrolled. At baseline, the symptomatology was assessed with the NIH-Chronic Prostatitis Symptom Index (NIH-CPSI), while the Meares-Stamey test was used to diagnose the infection. Patients were randomized (1:1) in two groups (A and B). All subjects underwent oral administration of Levoxacin® 500 mg once daily for 4 weeks. Only the patients in Group B underwent oral administration of EcN® 320 mg, twice daily for 4 weeks and then once daily for 8 weeks. After 3 months, each patient repeated the NIH-CPSI questionnaire, while the Meares-Stamey test was repeated at 3 and 6 months in patients who reported persistent symptoms. All adverse events (AEs) were recorded.

resultsA total of 110 patients were enrolled. After 3 months patients in Group B reported a significantly lower NIH-CPSI score (5.85 ± 3.07 vs. 7.64 ± 3.86; p = 0.009) and biological recurrences rate (9.8 vs. 26.9%; p = 0.043). At 6 months the biological recurrences rate was significantly lower in Group B (8.7 vs. 28.9%; p = 0.038). Only three patients in Group A and six in Group B (p = 0.25) complained mild AEs.

conclusionsCombination therapy with EcN and levofloxacin allows a better control of symptoms and biological recurrences in patients with CBP, without worsening the safety of the treatment.

Indexed as

Escherichia coliAdolescentAdultAnti-Bacterial AgentsBacterial InfectionsChronic DiseaseCombined Modality TherapyHumansLevofloxacinMaleMiddle AgedProstatitisTreatment OutcomeYoung AdultAnti-Bacterial AgentsLevofloxacinChronic bacterial prostatitisEcNEscherichia coli NissleFluoroquinolonesMicrobiota

Identifiers

PMID34213584
OpenAlexW3174496404

What OpenQuestion holds

Textmetadata
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.