Evidence map›Paper›PMID 35807801›Full record

Trial reportNutrients2022

A Four-Probiotic Regime to Reduce Surgical Site Infections in Multi-Trauma Patients.

Georgios Tzikos, Despoina Tsalkatidou, George Stavrou, Giannoula Thoma, Angeliki Chorti, Maria Tsilika, Antonios Michalopoulos, Theodosios Papavramidis, Evangelos J Giamarellos-Bourboulis, Katerina Kotzampassi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
5.4field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  14. The Role of the Gut Microbiome in the Development of Acute Pancreatitis.International journal of molecular sciences · 2024
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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

10 authors at 3 institutions in 2 countries.

Georgios Tzikos1st Propedeutic Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.ORCID 0000-0003-1095-8709
Despoina Tsalkatidou1st Propedeutic Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.
George StavrouDepartment of Surgery, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.
Giannoula ThomaIntensive Care Unit, Aghios Pavlos General Hospital, 55134 Thessaloniki, Greece.
Angeliki Chorti1st Propedeutic Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.
Maria Tsilika4th Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, 12462 Athens, Greece.ORCID 0000-0002-8751-4711
Antonios Michalopoulos1st Propedeutic Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.
Theodosios Papavramidis1st Propedeutic Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.
Evangelos J Giamarellos-Bourboulis4th Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, 12462 Athens, Greece.ORCID 0000-0003-4713-3911
Katerina KotzampassiDepartment of Surgery, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.ORCID 0000-0003-0241-7216
Aristotle University of Thessaloniki · GRNational and Kapodistrian University of Athens · GRAgios Pavlos General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Investigations that focused on the protective role of probiotics against Surgical Site Infections (SSI) in multiple-trauma (MT) patients are generally few, probably due to the complexity of the concept of trauma. We aimed to assess the efficacy of a four-probiotic regime to reduce the incidence of SSI in MT patients, with a brain injury included. MT patients, being intubated and expected to require mechanical ventilation for >10 days, were randomly allocated into placebo (n = 50) or probiotic treatment (n = 53) comprising Lactobacillus acidophilus LA-5 (1.75 × 109 cfu), Lactiplantibacillus plantarum UBLP-40 (0.5 × 109 cfu), Bifidobacterium animalis subsp. lactis BB-12 (1.75 × 109 cfu), and Saccharomycesboulardii Unique-28 (1.5 × 109 cfu) in sachets. All patients received two sachets of placebo or probiotics twice/day for 15 days and were followed-up for 30 days. The operations were classified as neurosurgical, thoracostomies, laparotomies, orthopedics, and others; then, the SSI and the isolated pathogen were registered. A total of 23 (46.0%) and 13 (24.5%) infectious insults in 89 (50 placebo patients) and 88 (53 probiotics-treated) operations (p = 0.022) were recorded, the majority of them relating to osteosynthesis—17 and 8, respectively. The most commonly identified pathogens were Staphylococcus aureus and Acinetobacter baumannii. Our results support published evidence that the prophylactic administration of probiotics in MT patients exerts a positive effect on the incidence of SSI.

Indexed as

Bifidobacterium animalisProbioticsBifidobacteriumDouble-Blind MethodHumansLactobacillus acidophilusSurgical Wound Infectionbrain traumaintensive care unitprobioticssurgical site infectiontrauma

Identifiers

PMID35807801
PMCPMC9268677
OpenAlexW4283585369

What OpenQuestion holds

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Registered trials

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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.