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Table 3 Quality of evidence for treatment of diarrhea with probiotics for hospitalizations

From: Systematic review of probiotics for the treatment of community-acquired acute diarrhea in children

 

Quality assessment

 

Summary of findings

 

Directness

No. of events

Effect

No. of studies (study arms)

Design

Limitations

Consistency

Generalizability to population of interest

Generalizability to intervention of interest

Intervention

Control

Relative Risk (95% CI)

Diarrhea hospitailizations

Various Probiotics: Moderate/Low [13, 17]

2(6)

RCT

Not double blinded, small n, 5/6 study arms compared to same control; 0 results statistically significant (-0.5)

Homogeneous based on meta-analysis (p=0.735; I2=0%)

Italy & Belgium (-0.5)

Mixtures prevent analysis of individual effect sizes, not enough data to make a statement about each probiotic strain (-0.5)

16

20

0.81

(0.42 – 1.57)

Hospitalizations (study arm): LGG (1), S. boulardii (1), Bacillus clausii (1), Enterococcus faecium (1), Mix A* (1), Mix C*** (1)

  1. * L. bulgaricus, L. acidophilus, Streptococcus thermophilus, B. bifidum
  2. *** LGG, L. acidophilus, L. casei, L. plantarum, Bifidobacterium infantis