Evidence map›Paper›PMID 40604878›Full record

SynthesisBMC oral health2025

Efficacy of probiotics for oral candidiasis management: a systematic review.

Pengjin Li, Xizhe Yu, Chen Chen, Zhibai Zhao, Xiaoqing Lu, Yuan Fan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. 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

6 authors.

Pengjin LiStomatological College of Nanjing Medical University, 1 Shanghai Road, Nanjing, China.
Xizhe YuSchool of Pediatrics, Jiangning District, Nanjing Medical University, 101 Longmian Avenue, Nanjing, 211166, China.
Chen ChenStomatological College of Nanjing Medical University, 1 Shanghai Road, Nanjing, China.
Zhibai ZhaoState Key Laboratory Cultivation Base of Research, Prevention and Treatment for Oral Diseases (Nanjing Medical University), Nanjing, China.
Xiaoqing LuDepartment of Basic Science of Stomatology, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, 210029, China. 24864119@qq.com.
Yuan FanDepartment of Oral Mucosal Diseases, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China. fanyuan@njmu.edu.cn.

Funding

National Nature Science Foundation of China No. 82470979the Jiangsu Province Capability Improvement Project through Science, Technology and Education-Jiangsu Provincial Research Hospital Cultivation Unit YJXYYJSDW4the Jiangsu Provincial Medical Innovation Center CXZX202227
6 · The paper itself

Abstract

backgroundOral candidiasis is a common opportunistic fungal infection caused by the genus Candida that primarily affects immunocompromised individuals. However, the clinical application of antifungal agents still faces frequent side effects and antifungal resistance, highlighting the urgent need for alternative therapeutic options. This systematic review aimed to synthesize RCT evidence up to February 2025, comprehensively comparing clinical outcomes across various probiotic regimens, in order to assess the efficacy of probiotics for oral candidiasis.

methodsA literature search was conducted to identify randomized clinical trials (RCTs) comparing probiotic regimens (multi-strain combinations or strain-specific interventions) with control groups. Thirteen RCTs were analyzed, using a classical frequentist meta-analysis model. Outcomes focused on the odds ratio (OR) of oral candidiasis (defined as CFU/mL > 10

resultsThe meta-analytic OR was 0.38 (95% confidence interval (95%CI): 0.22, 0.68), indicating a beneficial effect of treatment; the I

conclusionThe treatment effect in the susceptible populations appeared to have lower heterogeneity and more stable outcomes, indicating that the application of probiotics is beneficial for oral candidiasis, and the effects vary according to the population characteristics and sample size. Owing to the small sample size and high-risk studies, the results should be interpreted with caution.

Indexed as

Candidiasis, OralProbioticsHumansRandomized Controlled Trials as TopicTreatment OutcomeCandidaCandida carriageCandida preventionCandida treatmentCandidiasis oralMeta-analysisMicrobiotaProbioticsSystematic review

Identifiers

PMID40604878
PMCPMC12225532

What OpenQuestion holds

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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.