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口服增强型益生菌双歧杆菌在 SARS-COV-2 患者中的应用。

Oral booster probiotic bifidobacteria in SARS-COV-2 patients.

机构信息

Faculty of Medical, Clinic of Gastroenterology, 52981Istanbul Maltepe University, Istanbul, Turkey.

226838Faculty of Design, Bursa Technical University, Bursa, Turkey.

出版信息

Int J Immunopathol Pharmacol. 2021 Jan-Dec;35:20587384211059677. doi: 10.1177/20587384211059677.

Abstract

Oral booster-single strain probiotic bifidobacteria could be a potential strategy for SARS-CoV-2. This study aims to evaluate the role of oral probiotic on moderate/severe SARS-CoV-2 inpatients. In this single-center study, we analyzed data of 44 moderate/severe inpatients with diagnosed COVID-19 in Istanbul Maltepe University Medical Faculty Hospital, 2020 from 1 November 2020 to 15 December 2020. Clinical and medication features were compared and analyzed between patients with or without probiotic. In result, 19 of the 44 patients (43.18%) who were administrated with oral booster-single strain probiotic were discharged with the median inpatient day of 7.6 days which were significantly shorter than those of patients without probiotic. There were significant differences in inpatient days, radiological improvement at day 6 and week 3, and reduction in interleukin-6 levels in those receiving oral probiotic therapy. Although the mortality rate was 5% in the probiotic group, it was 25% in the non-probiotic group. Booster-single strain probiotic bifidobacteria could be an effective treatment strategy for moderate/severe SARS-CoV-2 inpatients to reduce the mortality and length of stay in hospital.

摘要

口服单菌株益生菌双歧杆菌可能是针对 SARS-CoV-2 的一种潜在策略。本研究旨在评估口服益生菌对中度/重度 SARS-CoV-2 住院患者的作用。在这项单中心研究中,我们分析了 2020 年 11 月 1 日至 12 月 15 日期间伊斯坦布尔马尔泰佩大学医学院附属医院 44 名确诊 COVID-19 的中度/重度住院患者的数据。比较并分析了有或没有益生菌的患者的临床和用药特征。结果显示,在接受口服单菌株益生菌增强剂治疗的 44 名患者中,有 19 名(43.18%)患者出院,中位住院天数为 7.6 天,明显短于未使用益生菌的患者。在接受口服益生菌治疗的患者中,住院天数、第 6 天和第 3 周的影像学改善以及白细胞介素-6 水平降低均有显著差异。虽然益生菌组的死亡率为 5%,但非益生菌组的死亡率为 25%。口服单菌株益生菌双歧杆菌可能是治疗中度/重度 SARS-CoV-2 住院患者的有效策略,可以降低死亡率和住院时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16e/8649091/0445cdbb5fe1/10.1177_20587384211059677-fig1.jpg

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