Evidence map›Paper›PMID 34825264›Full record

Trial reportEuropean journal of nutrition2022

Probiotic Bifidobacterium lactis Probio-M8 treated and prevented acute RTI, reduced antibiotic use and hospital stay in hospitalized young children: a randomized, double-blind, placebo-controlled study.

Mageswaran Uma Mageswary, Xin-Yee Ang, Boon-Kiat Lee, Yi-Li Fiona Chung, Siti Nur Afiqah Azhar, Intan Juliana Abd Hamid, Hafizi Abu Bakar, Nurhanis Syazni Roslan, Xiaojun Liu, Xiaohong Kang and 5 more

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04122495 (Treatment of Upper and Lower Respiratory Tract Infections in Young Children Using Probiotic), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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.

NCT04122495 nacompletednot on this map

Treatment of Upper and Lower Respiratory Tract Infections in Young Children Using Probiotic

TypeinterventionalSponsorUniversiti Sains MalaysiaRan2019 to 2020Enrolled120ConditionsRespiratory Infection (for Example, Pneumonia, Bronchitis)ArmsProbiotic, Placebo
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Therapeutic Potential ofInternational journal of molecular sciences · 2025
    Trial
  6. Trial
  7. The probioticGut microbes
    Trial
  8. Review
  9. Comparative Immunomodulatory Profiles ofJournal of microbiology and biotechnology · 2026
    Article
  10. Metal-Phenolic Network-Directed Coating ofFoods (Basel, Switzerland) · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Host tracheal and intestinal microbiomes inhibitbioRxiv : the preprint server for biology · 2023
    Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. The ProbioticFrontiers in nutrition · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Mageswaran Uma MageswarySchool of Industrial Technology, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Xin-Yee AngSchool of Industrial Technology, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Boon-Kiat LeeSchool of Industrial Technology, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Yi-Li Fiona ChungSchool of Industrial Technology, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Siti Nur Afiqah AzharSchool of Medical Sciences, Universiti Sains Malaysia, 16150, Kelantan, Malaysia.
Intan Juliana Abd HamidAdvanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Penang, Malaysia.
Hafizi Abu BakarSchool of Industrial Technology, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Nurhanis Syazni RoslanSchool of Medical Sciences, Universiti Sains Malaysia, 16150, Kelantan, Malaysia.
Xiaojun LiuBeijing Scitop Biotech Co., Ltd., Beijing, 101407, China.
Xiaohong KangInner Mongolia Mengniu Dairy (Group) Co. Ltd., Shengle Economic Zone, Helingeer, Huhhot, 011500, Inner Mongolia, China.
Lu DaiInner Mongolia Mengniu Dairy (Group) Co. Ltd., Shengle Economic Zone, Helingeer, Huhhot, 011500, Inner Mongolia, China.
Sasidharan SreenivasanInstitute for Research in Molecular Medicine (INFORMM), Universiti Sains Malaysia, 11800, Penang, Malaysia.
Fahisham TaibSchool of Medical Sciences, Universiti Sains Malaysia, 16150, Kelantan, Malaysia. fahisham@usm.my.
Heping ZhangKey Laboratory of Dairy Biotechnology and Engineering, Ministry of Education, Inner Mongolia Agricultural University, Hohhot, 010018, Inner Mongolia, China. hepingdd@vip.sina.com.
Min-Tze LiongSchool of Industrial Technology, Universiti Sains Malaysia, 11800, Penang, Malaysia. mintze.liong@usm.my.ORCID http://orcid.org/0000-0002-4471-8271

Funding

universiti sains malaysia 1001/PTEKIND/8070012
6 · The paper itself

Abstract

purposeThe development of probiotics has seen tremendous growth over the years, with health benefits ranging from gut health to respiratory. We thus aimed to investigate the effects of probiotic Bifidobacterium lactis Probio-M8 (2 × 10

methodA prospective, randomized, double-blind and placebo-controlled study was performed in RTI-hospitalized children. Patients were randomized to either the probiotic (n = 60, mean age 13.81 ± 0.90 months) or placebo (n = 60, mean age 12.11 ± 0.73 months) which were administered upon admission, continued during hospitalization and 4-week post-discharged. RTI and gut health parameters were assessed at these time points using validated questionnaires while concentrations of inflammatory cytokines were assessed via oral swabs.

resultsProbio-M8 reduced the duration of nasal, pharyngeal and general flu-like symptoms compared to the placebo during the hospitalization period and 4-week post-discharged (P < 0.05) as compared to the placebo, with a more prevalent effect against lower respiratory tract infections (LRTI). Probio-M8 reduced prescription of antibiotic (P = 0.037), prevented new prescription of antibiotic in non-prescribed patients (P = 0.024) and reduced hospitalization period in antibiotic-prescribed patients (P = 0.004) as compared to the placebo. Oral cytokine levels of TNF-α decreased in the Probio-M8 group (P = 0.001) accompanied by increased in IL-10 (P = 0.018) over 4-week post-discharged, while the placebo group did not exhibit such an effect. Increased IL-10 in the Probio-M8 group was correlated with decreased body ache (r = - 0.296, P = 0.001), headache (r = - 0.295, P = 0.001) and pain during swallow (r = - 0.235, P = 0.010).

conclusionData from our present study show that B. lactis Probio-M8 could be a potential natural and non-drug strategy for the management of RTI in young children in a safe manner. CLINICAL

trial registrationClinical studies (Approval No. USM/JEPeM/19030177) were registered at ClinicalTrials.gov (Identifier No. NCT04122495) on September 30, 2019.

Indexed as

Bifidobacterium animalisProbioticsRespiratory Tract InfectionsAnti-Bacterial AgentsChildChild, HospitalizedChild, PreschoolDouble-Blind MethodHumansInfantLength of StayProspective StudiesAnti-Bacterial AgentsAntibioticBifidobacterium lactis Probio-M8ChildrenHospitalizationInflammationProbioticRespiratory tract infections

Identifiers

PMID34825264
PMCPMC8616720

What OpenQuestion holds

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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.