Kullar Ravina, Goldstein Ellie J C, Johnson Stuart, McFarland Lynne V
Expert Stewardship Inc., Newport Beach, CA 92663, USA.
R.M. Alden Research Laboratory, Santa Monica, CA 90404, USA.
Microorganisms. 2023 Mar 30;11(4):896. doi: 10.3390/microorganisms11040896.
Lactobacilli are widely found in nature, are commensal microbes in humans, and are commonly used as probiotics. Concerns about probiotic safety have arisen due to reports of bacteremia and other -associated infections. We reviewed the literature for articles on the pathogenicity of spp. bacteremia and reports of probiotics in these patients. Our aim is to review these articles and update the present knowledge on the epidemiology of spp. bacteremia and determine the role of probiotics in bacteremia. bacteremia is infrequent but has a higher risk of mortality and risk factors, including severe underlying diseases, immune system suppression, admission to intensive care units, and use of central venous catheters. A variety of species may cause bacteremia and may or may not be associated with probiotic exposure. To determine if oral probiotics are the source of these infections, the blood isolates and the oral probiotic strain(s) must be compared by sensitive identification methods. The prevalence of bacteremia is infrequent but is more common in patients taking probiotics compared to those not taking probiotics. Three probiotics ( GG, , and ) were directly linked with blood isolates from bacteremia patients using molecular identification assays.
乳酸杆菌在自然界中广泛存在,是人类的共生微生物,常用于益生菌。由于有菌血症及其他相关感染的报道,人们对益生菌安全性产生了担忧。我们检索了文献中关于乳酸杆菌菌血症致病性的文章以及这些患者中益生菌的报道。我们的目的是回顾这些文章,更新目前关于乳酸杆菌菌血症流行病学的知识,并确定益生菌在乳酸杆菌菌血症中的作用。乳酸杆菌菌血症并不常见,但死亡率较高,且存在多种危险因素,包括严重的基础疾病、免疫系统抑制、入住重症监护病房以及使用中心静脉导管。多种乳酸杆菌可能导致菌血症,且可能与益生菌暴露有关,也可能无关。为确定口服益生菌是否为这些感染的来源,必须通过敏感的鉴定方法对血液分离株和口服益生菌菌株进行比较。乳酸杆菌菌血症并不常见,但与未服用益生菌的患者相比,服用益生菌的患者中更为常见。使用分子鉴定分析方法发现,三种益生菌(嗜酸乳杆菌GG、双歧杆菌和干酪乳杆菌)与菌血症患者的血液分离株直接相关。