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一种乳酸杆菌益生菌对缩短上呼吸道感染持续时间、降低发热程度及减少上呼吸道感染相关药物使用的影响:一项随机、安慰剂对照研究的重新分析

Effects of a Lactobacilli Probiotic on Reducing Duration of URTI and Fever, and Use of URTI-Associated Medicine: A Re-Analysis of a Randomized, Placebo-Controlled Study.

作者信息

Altadill Tatiana, Espadaler-Mazo Jordi, Liong Min-Tze

机构信息

AB-Biotics SA, Sant Cugat del Vallès, 08172 Barcelona, Spain.

Department of Bioprocess Technology, School of Industrial Technology, University Sains Malaysia, Penang 11800, Malaysia.

出版信息

Microorganisms. 2021 Mar 4;9(3):528. doi: 10.3390/microorganisms9030528.

Abstract

We previously reported on the effects of DR7 on reducing Upper Respiratory Tract Infections (URTI) symptoms' score and frequency in 109 adults upon a 12-week consumption at 10 colony-forming units (CFU)/day, but several limitations were detected in the publication. Thus, the present study re-analyzed some data with the aim to address some of these weaknesses, and presents new data on duration of URTI and consumption of URTI-associated medication, as compared to the placebo. Our re-analyses found probiotic administration significantly reduced the proportion of patient days of URTI and of fever (all < 0.05). Recent history of URTI was a prevalent co-factor in affecting duration of URTI symptoms and fever, while other demographic and clinical factors had no influence. Exploratory analyses suggested probiotic had an earlier benefit in patients without a recent history of URTI compared to those with a recent history of URTI. Therefore, recent history of infections could have a modulatory effect on probiotic efficacy. Average number of months with reported use of URTI-related medication was 3.4-times lower in the probiotic group as compared to placebo ( = 0.016) during the intervention. Taken together, our present new data further support previous findings that DR7 probiotic had a beneficial effect on URTI.

摘要

我们之前报道了DR7对109名成年人上呼吸道感染(URTI)症状评分和频率的影响,这些成年人每天服用10个菌落形成单位(CFU),持续12周,但在该出版物中发现了一些局限性。因此,本研究重新分析了一些数据,旨在解决其中一些弱点,并提供了与安慰剂相比,URTI持续时间和URTI相关药物使用情况的新数据。我们的重新分析发现,服用益生菌显著降低了URTI患者天数和发烧的比例(均<0.05)。近期URTI病史是影响URTI症状持续时间和发烧的常见共同因素,而其他人口统计学和临床因素则没有影响。探索性分析表明,与有近期URTI病史的患者相比,益生菌对没有近期URTI病史的患者有更早的益处。因此,近期感染史可能对益生菌疗效有调节作用。在干预期间,益生菌组报告使用URTI相关药物的平均月数比安慰剂组低3.4倍(P = 0.016)。综上所述,我们目前的新数据进一步支持了之前的研究结果,即DR7益生菌对URTI有有益作用。

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