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Table 1 Summary of available evidence and clinical effects of selected probiotic strains commonly used for the treatment of acute infectious diarrhea

From: Probiotics’ efficacy in paediatric diseases: which is the evidence? A critical review on behalf of the Italian Society of Pediatrics

 

L. rhamnosus GG

L. reuteri

DSM 17938

Saccharomyces boulardii

Bacillus clausii

Available Evidence

 Highest level of evidence

Metanalysis

Metanalysis

Metanalysis

Metanalysis

 Number of RCTs in children

16

4

22

7

Investigational setting

 Country Income a

High

Upper-middle

Lower-middle

High

Upper-middle

High

Upper-middle

Lower -middle

High

Lower-middle

 Inpatients/outpatients

Inpatients Outpatients

Inpatients Outpatients

Inpatients Outpatients

Inpatients Outpatients

 Evidence in children living in Italy

Yes

Yes

Yes

Yes

Outcomes

 Duration of diarrhea

++

++

+++

+

 Hospital admission

NA

NA

NA

 Length of hospitalization

+++

+

+++

++

 Healing within 48–72 h

+

NA

++

NA

 Stool output

NA

NA

NA

 Stool frequency

NA

+

  1. a level of income according to World Bank classification,
  2. NA Not assessable,
  3. (−) no effect, (+) minimal or borderline effect, (++) clinical effect, (+++) relevant and consistent clinical effect