Evidence map›Paper›PMID 40986080›Full record

Trial reportEuropean journal of nutrition2025

Effect of probiotics on intestinal permeability in critically ill children with sepsis: preliminary results from a double-blind, placebo-controlled trial.

Maryam Safabakhsh, Sakineh Shab-Bidar, Pejman Rohani, Farzaneh Beirami, Masoud Mohammadpour, Hossein Imani

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. 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

6 authors.

Maryam SafabakhshDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), No 44, Hojjat-dost Alley, Naderi St., Keshavarz Blvd, Tehran, Iran.
Sakineh Shab-BidarDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Pejman RohaniPediatric Gastroenterology and Hepatology Research Center, Pediatrics Centre of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Farzaneh BeiramiDivision of Pediatric Intensive Care Unit, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Keshavarz Blvd, Tehran, Iran.
Masoud MohammadpourDivision of Pediatric Intensive Care Unit, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Keshavarz Blvd, Tehran, Iran. mmpour@tums.ac.ir.
Hossein ImaniDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), No 44, Hojjat-dost Alley, Naderi St., Keshavarz Blvd, Tehran, Iran. dr.imani20@gmail.com.ORCID http://orcid.org/0000-0001-5297-9941

Funding

Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences IR.TUMS.CHMC.REC.1402.084
6 · The paper itself

Abstract

purposeThe objective of this study was to evaluate whether probiotics have effects on intestinal permeability in children with sepsis.

methodsSeptic children who were admitted to the pediatric intensive care unit (PICU) were included in this randomized double-blind study. Children received 2*10

resultsAfter 1 week of therapy, the levels of zonulin and LBP were reduced in the probiotic group compared to the placebo group, albeit there were no significant between-group differences for both (P = 0.88 for zonulin, P = 0.53 for LBP). In terms of inflammatory cytokines, probiotic usage led to a significant reduction in IL-6 (- 25.1 ± 29.1 pg/mL, P = 0.001) and an increase in IL-10 levels (25.4 ± 41.6 pg/mL, P < 0.001) with a significant difference between the two groups (P < 0.001). There were no differences between groups for other secondary outcomes, PICU/hospital stay, and mortality. Likewise, no serious side effects were seen after probiotic treatment in the study group.

conclusionTreatment of pediatric septic with probiotics was followed by improvement in inflammatory cytokines. Although we are not able to infer those probiotics provided benefit for intestinal permeability markers and known important clinical outcomes in pediatric sepsis. TRIAL REGISTRY: Registered at the Iranian Registry of Clinical Trials ( www.irct.ir ) with the number IRCT20170202032367N10.

Indexed as

Intestinal MucosaProbioticsSepsisAcute-Phase ProteinsBiomarkersCarrier ProteinsChildChild, PreschoolCritical IllnessCytokinesDouble-Blind MethodFemaleHaptoglobinsHumansInfantIntensive Care Units, PediatricAcute-Phase ProteinsBiomarkersCarrier ProteinsCytokinesHaptoglobinsInterleukin-10Interleukin-6Lipopolysaccharide-Binding ProteinMembrane GlycoproteinsProtein PrecursorszonulinNutritionPediatricsProbioticsSepsisSeptic shock

Identifiers

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.