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口服马克斯克鲁维酵母B0399加鼠李糖乳杆菌CECT 30579减轻COVID-19患者症状:一项随机开放标签临床试验。

Oral intake of Kluyveromyces marxianus B0399 plus Lactobacillus rhamnosus CECT 30579 to mitigate symptoms in COVID-19 patients: A randomized open label clinical trial.

作者信息

Navarro-López Vicente, Hernández-Belmonte Adriana, Pérez Soto Maria Isabel, Ayo-González Maikel, Losa-Rodríguez Guillermo, Ros-Sánchez Esther, Martínez-Gabarrón Maravillas, Sánchez-Pellicer Pedro, Aguera-Santos Juan, Núñez-Delegido Eva, Ruzafa-Costas Beatriz, Picó-Monllor José Antonio, Navarro-Moratalla Laura

机构信息

MiBioPath Research Group, Health and Science Faculty, Catholic University of Murcia, Campus de Los Jerónimos N 135, 30107, Murcia, Spain.

Clinical Microbiology and Infectious Disease Unit, Hospital Universitario Del Vinalopó, 03293, Elche, Spain.

出版信息

Med Microecol. 2022 Dec;14:100061. doi: 10.1016/j.medmic.2022.100061. Epub 2022 Aug 24.

Abstract

At the beginning of the SARS-CoV-2 pandemic, developing of new treatments to control the spread of infection and decrease morbidity and mortality are necessary. This prospective, open-label, case-control intervention study evaluates the impact of the oral intake of the probiotic yeast B0399 together with CECT 30579, administered for 30 days, on the evolution of COVID-19 patients. Analysis of the digestive symptoms at the end of the follow up shows a benefit of the probiotic in the number of patients without pyrosis (100% vs 33.3%; p 0.05) and without abdominal pain (100% vs 62.5%; p 0.04). Results also show a better evolution when evaluating the difference in the overall number of patients without non-digestive symptoms at the end of the follow-up (41.7%, vs 13%; p 0.06). The percentage of improvement in the digestive symptoms (65% vs 88%; p value 0.06) and the global symptoms (digestive and non-digestive) (88.6% vs 70.8%; p value 0.03) is higher in the probiotic group. The probiotic was well tolerated with no relevant side effects and high adherence among patients. In conclusion, this coadjutant treatment seems to be promising, although results should be confirmed in new studies with higher number of patients.

摘要

在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行初期,开发新的治疗方法以控制感染传播并降低发病率和死亡率是必要的。这项前瞻性、开放标签、病例对照干预研究评估了口服益生菌酵母B0399与CECT 30579联合给药30天对新冠肺炎患者病情发展的影响。随访结束时对消化症状的分析表明,益生菌对无烧心症状的患者数量(100%对33.3%;p<0.05)和无腹痛症状的患者数量(100%对62.5%;p<0.04)有有益影响。结果还显示,在评估随访结束时无非消化症状的患者总数差异时(41.7%对13%;p<0.06),病情发展更好。益生菌组消化症状改善百分比(65%对88%;p值<0.06)和总体症状(消化和非消化)改善百分比(88.6%对70.8%;p值<0.03)更高。益生菌耐受性良好,无相关副作用,患者依从性高。总之,这种辅助治疗似乎很有前景,尽管结果应在更多患者的新研究中得到证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a7/9398813/fad8b21c1938/gr1_lrg.jpg

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