Zhang CD, Dai DQ, Zhao ZM. Probiotics for the prevention of antibiotic-associated diarrhea in adult patients: A meta-analysis.
Shijie Huaren Xiaohua Zazhi 2012;
20:2006-2011. [DOI:
10.11569/wcjd.v20.i21.2006]
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Abstract
AIM: To systematically investigate whether current clinical trails can clarify the association between probiotic administration and adult antibiotic-associated diarrhea (AAD), and to evaluate the efficacy and safety of probiotic administration in preventing AAD in both inpatient and outpatient adults.
METHODS: PubMed, Embase, CINAHL, AMED, the Cochrane database of Systematic Reviews, the Cochrane Controlled Trials Register, and the China National Knowledge Infrastructure (CNKI) electronic databases were searched for studies published between January 1966 and April 2012. Only prospective, randomized, controlled trials involving patients older than 18 years were included. Furthermore, only the trials which combined antibiotic administration and probiotic therapy for the prevention of AAD were extracted.
RESULTS: The data of the present study showed a significantly decreased risk of adult AAD: relative risk (RR) = 0.45, 95% confidence interval (CI), 0.29-0.69, P < 0.001. Similar results were obtained from the subgroup analysis of particular types of probiotics (RR = 0.42, 95%CI: 0.20-0.85, P = 0.003).
CONCLUSION: Our study suggests that adult patients can benefit from probiotics co-administered with antibiotics.
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