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Published on: September 10, 2016
The safety of probiotics
1Division of Geographic Medicine and Infectious Diseases and Department of Medicine, Tufts-New England Medical Center, and Tufts University School of Medicine, Boston, Massachusetts 02111, USA. DSnydman@tufts-nemc.org
Probiotics offer health benefits but have theoretical safety concerns. Evidence from clinical trials indicates probiotics are generally safe for consumption, with rare adverse events.
Area of Science:
- Microbiology
- Gastroenterology
- Public Health
Background:
- Probiotics are live microorganisms conferring health benefits.
- Widespread daily consumption for perceived wellness.
- Commonly used genera include Lactobacilli, Bifidobacteria, and Lactococci.
Purpose of the Study:
- To review and examine the evidence for probiotic safety.
- To address theoretical concerns regarding probiotic use.
- To evaluate the risk-benefit profile of probiotic consumption.
Main Methods:
- Review of existing scientific literature and clinical trial data.
- Analysis of epidemiological data on probiotic usage.
- Examination of theoretical safety concerns: infection, toxic effects, antibiotic resistance transfer.
Main Results:
- Rare instances of bacteremia or fungemia associated with probiotics exist.
- Epidemiological data does not show an increased population risk.
- Numerous controlled clinical trials demonstrate safe probiotic use.
Conclusions:
- Probiotics are generally safe for human consumption.
- Clinical trials confirm the safety of probiotic interventions.
- Probiotic research should include safety monitoring and antimicrobial susceptibility data.
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